| Entity Name: | SOUTH TAMPA DENTAL STUDIO, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Jun 2016 (9 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 19 Jul 2017 (8 years ago) |
| Document Number: | L16000124150 |
| FEI/EIN Number | 813159902 |
| Address: | 4306 W. KENSINGTON AVENUE, TAMPA, FL, 33629, US |
| Mail Address: | 4306 W. KENSINGTON AVENUE, TAMPA, FL, 33629, US |
| ZIP code: | 33629 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063865673 | 2016-07-19 | 2022-07-21 | 4306 WEST KENSINGTON AVE., TAMPA, FL, 33629, US | 4306 WEST KENSINGTON AVE., TAMPA, FL, 33629, US | |||||||||||||||
|
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| Phone | +1 813-356-0555 |
| Fax | 8133200976 |
Authorized person
| Name | DR. MARNIE CHALL BAUER |
| Role | OWNER |
| Phone | 8138392273 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GOLD AARON J | Agent | 202 S. ROME AVENUE, TAMPA, FL, 33606 |
| Name | Role | Address |
|---|---|---|
| BAUER MARNIE CDMD | Manager | 4306 W. KENSINGTON AVENUE, TAMPA, FL, 33629 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC NAME CHANGE | 2017-07-19 | SOUTH TAMPA DENTAL STUDIO, LLC | No data |
| LC NAME CHANGE | 2017-01-03 | SOUTH TAMPA DENTAL SALON, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-02-14 |
| ANNUAL REPORT | 2018-01-17 |
| LC Name Change | 2017-07-19 |
| ANNUAL REPORT | 2017-01-26 |
| LC Name Change | 2017-01-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
