| Entity Name: | FLORIDA CRANIOFACIAL ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 21 Dec 2017 (7 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L17000259851 |
| FEI/EIN Number | 82-3980139 |
| Address: | 4200 N. ARMENIA AVENUE SUITE 3, TAMPA, FL, 33607, US |
| Mail Address: | 4200 N. ARMENIA AVENUE SUITE 3, TAMPA, FL, 33607, US |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154839330 | 2018-01-22 | 2018-01-22 | 4200 N ARMENIA AVE STE 3, TAMPA, FL, 336076451, US | 4200 N ARMENIA AVE STE 3, TAMPA, FL, 336076451, US | |||||||||||||||||||
|
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| Phone | +1 813-870-6000 |
| Fax | 8138706015 |
Authorized person
| Name | PETER KEMP |
| Role | ADMINISTRATOR |
| Phone | 8138706000 |
Taxonomy
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| Is Primary | No |
| Taxonomy Code | 204E00000X - Oral & Maxillofacial Surgery (D.M.D.) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RICALDE PAT DR. | Agent | 3707 W. CORONA STREET, TAMPA, FL, 33629 |
| Name | Role | Address |
|---|---|---|
| RICALDE PAT DR | Manager | 4200 N. ARMENIA AVENUE SUITE 3, TAMPA, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| LC AMENDMENT | 2018-07-30 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-04 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-11 |
| LC Amendment | 2018-07-30 |
| Florida Limited Liability | 2017-12-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
