| Entity Name: | COSMIC SMILES FAMILY DENTISTRY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 26 Sep 2016 (8 years ago) |
| Date of dissolution: | 19 Jul 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 19 Jul 2020 (5 years ago) |
| Document Number: | L16000179395 |
| FEI/EIN Number | 81-3961556 |
| Address: | 1310 San Marco Road, Suite B, MARCO ISLAND, FL, 34145, US |
| Mail Address: | 1310 SAN MARCO ROAD, SUITE B, MARCO ISLAND, FL, 34145, US |
| ZIP code: | 34145 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932622008 | 2017-07-20 | 2017-07-20 | 1310 SAN MARCO RD STE B, MARCO ISLAND, FL, 341454608, US | 1310 SAN MARCO RD STE B, MARCO ISLAND, FL, 341454608, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 239-259-8572 |
| Fax | 2392598572 |
| Phone | +1 239-394-2270 |
Authorized person
| Name | DR. TAMARA KRISTINE ROBISON |
| Role | OWNER |
| Phone | 2393942270 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BRUCE H. VANDERLAAN, ATTORNEY AT LAW, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| ROBISON TAMARA K | Authorized Member | 1310 SAN MARCO ROAD, SUITE B, MARCO ISLAND, FL, 34145 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-07-19 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-07 | 1310 San Marco Road, Suite B, MARCO ISLAND, FL 34145 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-07 | 1310 San Marco Road, Suite B, MARCO ISLAND, FL 34145 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-07 | 1500 Royal Palm Square Boulevard, Suite 101, FORT MYERS, FL 33919 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-07-19 |
| ANNUAL REPORT | 2019-03-06 |
| ANNUAL REPORT | 2018-03-07 |
| ANNUAL REPORT | 2017-01-25 |
| Florida Limited Liability | 2016-09-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
