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TAMPA DENTAL WELLNESS OF CARROLLWOOD LLC

Company Details

Entity Name: TAMPA DENTAL WELLNESS OF CARROLLWOOD LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 15 Sep 2017 (7 years ago)
Document Number: L17000192623
FEI/EIN Number 82-2802622
Address: 11123 N Dale Mabry Highway, TAMPA, FL 33618
Mail Address: 11123 N Dale Mabry Highway, TAMPA, FL 33618
ZIP code: 33618
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992275929 2018-12-03 2018-12-03 11123 N DALE MABRY HWY, TAMPA, FL, 336183803, US 11123 N DALE MABRY HWY, TAMPA, FL, 336183803, US

Contacts

Phone +1 813-265-2273

Authorized person

Name MRS. JEANNINE SMITH
Role OPERATIONS MANAGER
Phone 8132652273

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Agent

Name Role
FT CORPORATE SERVICES, LLC Agent

Manager

Name Role Address
GIONIS, STEPHEN L Manager 11912 ROYCE WATERFORD CIRCLE, TAMPA, FL 33626
CREECH-GIONIS, AMY Manager 11912 ROYCE WATERFORD CIRCLE, TAMPA, FL 33626

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-07-18 FT Corporate Services No data
REGISTERED AGENT ADDRESS CHANGED 2024-07-18 501 Riverside Ave Suite 700, Jacksonville, FL 32202 No data
CHANGE OF PRINCIPAL ADDRESS 2019-05-01 11123 N Dale Mabry Highway, TAMPA, FL 33618 No data
CHANGE OF MAILING ADDRESS 2019-05-01 11123 N Dale Mabry Highway, TAMPA, FL 33618 No data

Documents

Name Date
ANNUAL REPORT 2024-07-18
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-05-24
ANNUAL REPORT 2020-07-20
ANNUAL REPORT 2019-05-01
ANNUAL REPORT 2018-03-19
Florida Limited Liability 2017-09-15

Date of last update: 18 Jan 2025

Sources: Florida Department of State