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DENTAL ASSOCIATES OF FLORIDA (BARTOW), PLLC

Company Details

Entity Name: DENTAL ASSOCIATES OF FLORIDA (BARTOW), PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 12 Aug 2016 (9 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 24 Apr 2024 (10 months ago)
Document Number: L16000151670
FEI/EIN Number 36-4844908
Mail Address: 6240 LAKE OSPREY DRIVE, SARASOTA, FL, 34240
Address: 2090 FLAMINGO DRIVE, BARTOW, FL, 33830
ZIP code: 33830
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1922558881 2016-10-04 2016-10-05 2090 FLAMINGO DR, BARTOW, FL, 338304262, US 2090 FLAMINGO DR, BARTOW, FL, 338304262, US

Contacts

Phone +1 863-533-4444

Authorized person

Name MIKE COLE
Role VP INSURANCE PLAN MANAGEMENT
Phone 7277261611

Taxonomy

Taxonomy Code 122300000X - Dentist
State FL
Is Primary Yes

Agent

Name Role
C T CORPORATION SYSTEM Agent

Director

Name Role Address
GALLO DONALD Director 6240 LAKE OSPREY DRIVE, SARASOTA, FL, 34240

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000093799 SMILES INCLUDED EXPIRED 2016-08-29 2021-12-31 No data 6240 LAKE OSPREY DRIVE, SARASOTA, FL, 34240

Events

Event Type Filed Date Value Description
LC STMNT OF RA/RO CHG 2024-04-24 No data No data
REGISTERED AGENT NAME CHANGED 2024-04-24 C T CORPORATION SYSTEM No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-24 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 No data

Documents

Name Date
ANNUAL REPORT 2024-07-24
CORLCRACHG 2024-04-24
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-06-25
ANNUAL REPORT 2019-04-18
ANNUAL REPORT 2018-04-17
ANNUAL REPORT 2017-03-31
Florida Limited Liability 2016-08-12

Date of last update: 01 Feb 2025

Sources: Florida Department of State