| Entity Name: | BAY AREA JAW AND FACIAL SURGERY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 20 Jul 2016 (9 years ago) |
| Date of dissolution: | 14 May 2021 (4 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 14 May 2021 (4 years ago) |
| Document Number: | L16000135198 |
| FEI/EIN Number | 81-3314674 |
| Address: | 15170 N. Florida Avenue, Tampa, FL 33613 |
| Mail Address: | 15170 NORTH FLORIDA AVENUE, TAMPA, FL 33613 |
| ZIP code: | 33613 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174078810 | 2016-08-23 | 2016-08-23 | 14005 N DALE MABRY HWY, TAMPA, FL, 336182401, US | 1993 COUNTY ROAD 1, DUNEDIN, FL, 346982833, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 813-264-2286 |
| Fax | 8132642091 |
| Phone | +1 727-400-3414 |
| Fax | 7277380472 |
Authorized person
| Name | DR. MICHAEL BRIAN BARBICK |
| Role | OWNER/ORAL SURGEON |
| Phone | 3522586218 |
Taxonomy
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| License Number | DN18016 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| TK REGISTERED AGENT, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| BARBICK, MICHAEL, DMD,MD | Authorized Member | 15170 N. Florida Avenue, Tampa, FL 33613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2021-05-14 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-01 | 15170 N. Florida Avenue, Tampa, FL 33613 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-02-01 | TK Registered Agent, Inc. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-01 | 101 E. Kennedy Boulevard, Suite 2700, Tampa, FL 33602 | No data |
| CHANGE OF MAILING ADDRESS | 2020-09-15 | 15170 N. Florida Avenue, Tampa, FL 33613 | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2021-05-14 |
| AMENDED ANNUAL REPORT | 2021-02-17 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-02-11 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-04-28 |
| Florida Limited Liability | 2016-07-20 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
