| Entity Name: | PROFESSIONAL DENTAL ALLIANCE OF CLEARWATER, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Nov 2018 (6 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 04 Feb 2019 (6 years ago) |
| Document Number: | L18000276457 |
| FEI/EIN Number | 37-1916049 |
| 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 | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447723804 | 2019-01-09 | 2019-01-09 | 11 S MILL ST STE 200, NEW CASTLE, PA, 161013680, US | 2685 ULMERTON RD STE 103, CLEARWATER, FL, 337623332, US | |||||||||||||||
|
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| Phone | +1 724-698-2500 |
| Phone | +1 727-572-4063 |
Authorized person
| Name | LAUREN HOWARD |
| Role | CREDENTIALING SPECIALIST |
| Phone | 7246982029 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Spelios Louis | Member | 125 Enterprise Dr., Pittsburgh, PA, 15275 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000133699 | ST. PETERSBURG DENTAL CENTER | ACTIVE | 2024-10-31 | 2029-12-31 | No data | 2685 ULMERTON RD SUITE 103, CLEARWATER, FL, 33762 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-07 | 125 Enterprise Dr., SUITE 200, Pittsburgh, PA 15275 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-07 | 125 Enterprise Dr., SUITE 200, Pittsburgh, PA 15275 | No data |
| LC STMNT OF RA/RO CHG | 2019-02-04 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-02-04 | CORPORATION SERVICE COMPANY | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-04-23 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-04-17 |
| CORLCRACHG | 2019-02-04 |
| Florida Limited Liability | 2018-11-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
