| Entity Name: | THATAVARTHY FAMILY DENTAL PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Jul 2018 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 09 Oct 2019 (5 years ago) |
| Document Number: | L18000171609 |
| FEI/EIN Number | 83-1259836 |
| Address: | 9319 MANGROVE CT., TAMPA, FL 33647 |
| Mail Address: | 9319 MANGROVE CT., TAMPA, FL 33647 |
| ZIP code: | 33647 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083196729 | 2018-08-29 | 2024-08-26 | 9319 MANGROVE CT, TAMPA, FL, 336473356, US | 4122 ROWAN RD, NEW PORT RICHEY, FL, 346536122, US | |||||||||||||||
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| Phone | +1 571-294-8153 |
| Phone | +1 727-645-6943 |
Authorized person
| Name | DR. SRIVIDYA VULUGUNDAM |
| Role | GENERAL DENTIST |
| Phone | 5712948153 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| THATAVARTHY, KRISHNA K | Agent | 9319 MANGROVE CT., TAMPA, FL 33647 |
| Name | Role | Address |
|---|---|---|
| VULUGUNDAM, SRIVIDYA | Manager | 9319 MANGROVE CT., TAMPA, FL 33647 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000096817 | ORANGE GROVE DENTAL | ACTIVE | 2018-08-30 | 2028-12-31 | No data | 9319 MANGROVE CT, TAMPA, FL, 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2019-10-09 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-09 | THATAVARTHY, KRISHNA K | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-21 |
| ANNUAL REPORT | 2023-04-08 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-02-19 |
| ANNUAL REPORT | 2020-01-23 |
| REINSTATEMENT | 2019-10-09 |
| Florida Limited Liability | 2018-07-05 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6094787710 | 2020-05-01 | 0455 | PPP | 4122 ROWAN RD, NEW PORT RICHEY, FL, 34653-6122 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9913828409 | 2021-02-18 | 0455 | PPS | 9319 Mangrove Ct, Tampa, FL, 33647-3356 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 17 Feb 2025
Sources: Florida Department of State
