| Entity Name: | DENTAL SPECIALTY CENTER OF CAPE CORAL, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Feb 2017 (8 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 24 Apr 2024 (9 months ago) |
| Document Number: | L17000044420 |
| FEI/EIN Number | 82-0657753 |
| Mail Address: | 6240 LAKE OSPREY DRIVE, SARASOTA, FL 34240 |
| Address: | 821 WEST CAPE CORAL PARKWAY, SUITES 3-5, CAPE CORAL, FL 33914 |
| ZIP code: | 33914 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992245153 | 2017-03-06 | 2017-03-06 | 821 CAPE CORAL PKWY W UNIT 3-5, CAPE CORAL, FL, 339147420, US | 821 CAPE CORAL PKWY W UNIT 3-5, CAPE CORAL, FL, 339147420, US | |||||||||||||||||||||
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| Phone | +1 305-274-2499 |
Authorized person
| Name | STEPHANIE GOMEZ |
| Role | CREDENTIALING COORDINATOR |
| Phone | 3052742499 |
Taxonomy
| Taxonomy Code | 1223E0200X - Endodontist |
| Is Primary | No |
| Taxonomy Code | 1223P0300X - Periodontist |
| Is Primary | Yes |
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| Is Primary | No |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| GALLO, DONALD A, D.M.D. | Manager | 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 | 2023-01-23 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-25 |
| ANNUAL REPORT | 2019-04-18 |
| ANNUAL REPORT | 2018-04-16 |
| Florida Limited Liability | 2017-02-24 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
