| Entity Name: | DENTAL ASSOCIATES OF FLORIDA (SOUTH BRANDON), PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 17 Aug 2016 (8 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L16000154550 |
| FEI/EIN Number | 32-0503632 |
| Mail Address: | 6240 LAKE OSPREY DRIVE, SARASOTA, FL, 34240 |
| Address: | 611 EAST BLOOMINGDALE AVENUE, BRANDON, FL, 33511 |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548710403 | 2016-10-04 | 2016-10-05 | 611 E BLOOMINGDALE AVE, BRANDON, FL, 335118127, US | 611 E BLOOMINGDALE AVE, BRANDON, FL, 335118127, US | |||||||||||||||
|
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| Phone | +1 813-684-6279 |
Authorized person
| Name | MIKE COLE |
| Role | VP INUSURANCE PLAN MANAGEMENT |
| Phone | 9419553150 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALLEN RUSSELL | Agent | 6240 LAKE OSPREY DRIVE, SARASOTA, FL, 34240 |
| 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 |
|---|---|---|---|---|---|---|
| G16000093820 | SMILES INCLUDED | EXPIRED | 2016-08-29 | 2021-12-31 | No data | 6240 LAKE OSPREY DRIVE, SARASOTA, FL, 34240 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-03-31 | ALLEN, RUSSELL | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-03-31 |
| Florida Limited Liability | 2016-08-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
