| Entity Name: | PROFESSIONAL DENTAL ALLIANCE OF PALM BAY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PROFESSIONAL DENTAL ALLIANCE OF PALM BAY, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 06 Jul 2018 (7 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 04 Feb 2019 (6 years ago) |
| Document Number: | L18000164067 |
| FEI/EIN Number |
61-1896011
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 125 Enterprise Dr., Pittsburgh, PA, 15275, US |
| Mail Address: | 125 Enterprise Dr., Pittsburgh, PA, 15275, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770062465 | 2018-08-13 | 2018-08-13 | 11 S MILL ST STE 200, NEW CASTLE, PA, 161013680, US | 1764 PALM BAY RD NE, PALM BAY, FL, 329052904, US | |||||||||||||||
|
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| Phone | +1 724-698-2132 |
| Phone | +1 321-725-5512 |
Authorized person
| Name | ANNETTE MARLOW |
| Role | CREDENTIALING SUPERVISOR |
| Phone | 3217255512 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | - |
| Spelios Louis | Member | 125 Enterprise Dr., Pittsburgh, PA, 15275 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000130699 | PALM BAY DENTAL CENTER | ACTIVE | 2024-10-24 | 2029-12-31 | - | 1764 PALM BAY RD., PALM BAY, FL, 32905 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-09 | 125 Enterprise Dr., Suite 200, Pittsburgh, PA 15275 | - |
| CHANGE OF MAILING ADDRESS | 2023-03-09 | 125 Enterprise Dr., Suite 200, Pittsburgh, PA 15275 | - |
| LC STMNT OF RA/RO CHG | 2019-02-04 | - | - |
| REGISTERED AGENT NAME CHANGED | 2019-02-04 | CORPORATION SERVICE COMPANY | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-04 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-04-23 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-04-18 |
| CORLCRACHG | 2019-02-04 |
| Florida Limited Liability | 2018-07-06 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
