| Entity Name: | DENTAL ASSOCIATES OF FLORIDA (BROOKSVILLE), PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Aug 2016 (8 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 24 Apr 2024 (9 months ago) |
| Document Number: | L16000154479 |
| FEI/EIN Number | 31-7834875 |
| Mail Address: | 6240 LAKE OSPREY DRIVE, SARASOTA, FL, 34240 |
| Address: | 401 HOWELL AVENUE, BROOKSVILLE, FL, 34601 |
| ZIP code: | 34601 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740730613 | 2016-10-04 | 2016-10-05 | 401 HOWELL AVE, BROOKSVILLE, FL, 346012044, US | 401 HOWELL AVE, BROOKSVILLE, FL, 346012044, US | |||||||||||||||
|
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| Phone | +1 352-796-3931 |
Authorized person
| Name | MIKE COLE |
| Role | VP INSURANCE PLAN MANAGEMENT |
| Phone | 9419553150 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| GALLO DONALD | Director | 6240 LAKE OSPREY DRIVE, SARASOTA, FL, 34240 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000093806 | SMILES INCLUDED | EXPIRED | 2016-08-29 | 2021-12-31 | No data | 6240 LAKE OSPREY DRIVE, SARASOTA, FL, 34240 |
| 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 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| CORLCRACHG | 2024-04-24 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-25 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-03-31 |
| Florida Limited Liability | 2016-08-17 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
