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DENTAL SPECIALTY GROUP OF TAMPA BAY PLLC

Company Details

Entity Name: DENTAL SPECIALTY GROUP OF TAMPA BAY PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 14 Dec 2017 (7 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 28 Sep 2021 (3 years ago)
Document Number: L17000255105
FEI/EIN Number 82-3662640
Address: 4326 PARK BLVD. N.,, PINELLAS PARK, FL, 33781, US
Mail Address: 4326 PARK BLVD. N.,, PINELLAS PARK, FL, 33781, US
ZIP code: 33781
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720596067 2018-01-22 2018-01-22 4326 PARK BLVD N STE C-EAST, PINELLAS PARK, FL, 337813555, US 4326 PARK BLVD N STE C-EAST, PINELLAS PARK, FL, 337813555, US

Contacts

Phone +1 727-544-5345
Fax 7275478263

Authorized person

Name RUBEN FERNANDO MESIA
Role OWNER/PERIODONTIST
Phone 3522227512

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes

Agent

Name Role Address
MESIA RUBEN F Agent 212 S. MATANZAS AVE., TAMPA, FL, 33609

Manager

Name Role Address
MESIA RUBEN F Manager 212 S. MATANZAS AVE., TAMPA, FL, 33609

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000075919 DENTAL SPECIALTY GROUP OF PINELLAS EXPIRED 2019-07-12 2024-12-31 No data 4326 PARK BLVD. N., SUITE C-EAST, PINELLAS PARK, FL, 33781

Events

Event Type Filed Date Value Description
REINSTATEMENT 2021-09-28 No data No data
REGISTERED AGENT NAME CHANGED 2021-09-28 MESIA, RUBEN F No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data
CHANGE OF PRINCIPAL ADDRESS 2018-06-26 4326 PARK BLVD. N.,, SUITE C-EAST, PINELLAS PARK, FL 33781 No data
CHANGE OF MAILING ADDRESS 2018-06-26 4326 PARK BLVD. N.,, SUITE C-EAST, PINELLAS PARK, FL 33781 No data

Documents

Name Date
ANNUAL REPORT 2024-04-26
ANNUAL REPORT 2023-04-25
ANNUAL REPORT 2022-04-27
REINSTATEMENT 2021-09-28
ANNUAL REPORT 2020-06-30
AMENDED ANNUAL REPORT 2019-10-14
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-25
Florida Limited Liability 2017-12-14

Date of last update: 02 Feb 2025

Sources: Florida Department of State