| Entity Name: | DENTAL ASSOCIATES OF FLORIDA (TAMPA), PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 17 Aug 2016 (8 years ago) |
| Document Number: | L16000154709 |
| FEI/EIN Number | 37-1834904 |
| Mail Address: | 6240 LAKE OSPREY DRIVE, SARASOTA, FL 34240 UN |
| Address: | 315 WEST BUSCH BOULEVARD, SUITE A, TAMPA, FL 33612 |
| ZIP code: | 33612 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487104212 | 2016-10-05 | 2016-10-05 | 315 W BUSCH BLVD, SUITE A, TAMPA, FL, 336127904, US | 315 W BUSCH BLVD, SUITE A, TAMPA, FL, 336127904, US | |||||||||||||||
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| Phone | +1 813-898-2888 |
Authorized person
| Name | MIKE COLE |
| Role | VP INSURANCE PLAN MANAGEMENT |
| Phone | 9419553150 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Garcia , Victoria | Agent | 6240 LAKE OSPREY DRIVE, SARASOTA, FL 34240 |
| Name | Role | Address |
|---|---|---|
| GALLO, DONALD | Director | 6240 LAKE OSPREY DRIVE, SARASOTA 34240 UN |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000093913 | SMILES INCLUDED | EXPIRED | 2016-08-29 | 2021-12-31 | No data | 6240 LAKE OSPREY DRIVE, SARASOTA, FL, 34240 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-24 | Garcia , Victoria | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-12 |
| 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: 19 Jan 2025
Sources: Florida Department of State
