| Entity Name: | BLUE WAVE ORTHO PARTNERS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 21 Jan 2016 (9 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L16000012514 |
| FEI/EIN Number | 81-1498112 |
| Address: | 1773 WEST FLETCHER AVENUE, TAMPA, FL 33612-1820 |
| Mail Address: | 1773 WEST FLETCHER AVENUE, TAMPA, FL 33612-1820 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437671195 | 2017-07-13 | 2022-07-21 | 1773 W FLETCHER AVE, TAMPA, FL, 336121820, US | 1773 W FLETCHER AVE, TAMPA, FL, 336121820, US | |||||||||||||
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| Phone | +1 813-968-2483 |
Authorized person
| Name | SHARON CALLAGHAN |
| Role | INSURANCE COORDINATOR |
| Phone | 8139682483 |
Taxonomy
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BLUE WAVE DENTAL GROUP, PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| SIERRA, FRANK J | Manager | 1773 WEST FLETCHER AVENUE, TAMPA, FL 33612-1820 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2021-09-24 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2021-09-24 | 1773 WEST FLETCHER AVENUE, TAMPA, FL 33612-1820 | No data |
| LC AMENDMENT | 2020-08-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-04-16 | Blue Wave Dental Group PLLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-16 | 1773 W Fletcher Avenue, Tampa, FL 33612 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-04-05 |
| LC Amendment | 2021-09-24 |
| ANNUAL REPORT | 2021-02-11 |
| LC Amendment | 2020-08-14 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-03-20 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
