| Entity Name: | FAMILY DENTAL AT CONNERTON, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 07 Jan 2016 (9 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L16000005846 |
| Address: | 7918 LAND O LAKES BLVD., SUITE 101, LAND O LAKES, FL, 34638, UN |
| Mail Address: | 7918 LAND O LAKES BLVD., SUITE 101, LAND O LAKES, FL, 34638, UN |
| ZIP code: | 34638 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467880070 | 2013-10-16 | 2013-10-16 | 7918 LAND O LAKES BLVD, SUITE 101, LAND O LAKES, FL, 346385705, US | 7918 LAND O LAKES BLVD, SUITE 101, LAND O LAKES, FL, 34638, US | |||||||||||||||||||||||||||
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| Phone | +1 813-929-9800 |
| Fax | 8139299815 |
Authorized person
| Name | MS. CATHERINE LAND |
| Role | OFFICE MANAGER |
| Phone | 8139299800 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | DN17707 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | DN18381 |
| State | FL |
| Is Primary | No |
| Name | Role |
|---|---|
| RIDGE DENTAL LLC | Agent |
| Name | Role | Address |
|---|---|---|
| FELIZ JUANA RDR. | Manager | 11414 RIDGE ROAD, NEW PORT RICHEY, FL, 34654 |
| WIDE SMILE LLC | Manager | No data |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2016-01-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
