| Entity Name: | GULF COAST DENTISTRY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 17 Dec 2018 (6 years ago) |
| Document Number: | L18000288430 |
| FEI/EIN Number | 83-2890272 |
| Address: | 4427 ROWAN RD, NEW PORT RICHEY, FL 34653 |
| Mail Address: | 16688 N Dale Mabry Hwy, Tampa, FL 33618 |
| ZIP code: | 34653 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780106534 | 2017-07-13 | 2021-10-19 | 16688 N DALE MABRY HWY, TAMPA, FL, 336181400, US | 4427 ROWAN RD, NEW PORT RICHEY, FL, 346536198, US | |||||||||||||||||
|
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| Phone | +1 813-374-9695 |
| Fax | 8133337323 |
| Phone | +1 813-385-2844 |
Authorized person
| Name | RONALD YARBROUGH |
| Role | OWNER |
| Phone | 8133852844 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| YARBROUGH, RONALD L, JR | Agent | 16688 N. DALE MABRY HWY, TAMPA, FL 33618 |
| Name | Role | Address |
|---|---|---|
| YARBROUGH, RONALD L, JR | Authorized Person | 16688 N. DALE MABRY HWY, TAMPA, FL 33618 |
| LARKIN, BRANDON R | Authorized Person | 16688 N. DALE MABRY HWY, TAMPA, FL 33618 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000134423 | A SAFARI DENTAL | ACTIVE | 2018-12-20 | 2028-12-31 | No data | 4427 ROWAN RD, NEW PORT RICHEY, FL, 34653 |
| G18000134427 | GULF COAST PEDIATRIC DENTISTRY | ACTIVE | 2018-12-20 | 2028-12-31 | No data | 4427 ROWAN RD, NEW PORT RICHEY, FL, 34653 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2019-03-04 | 4427 ROWAN RD, NEW PORT RICHEY, FL 34653 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-01-23 |
| ANNUAL REPORT | 2019-03-04 |
| Florida Limited Liability | 2018-12-17 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
