| Entity Name: | DENTAL ASSOCIATES OF FLORIDA (LUTZ), PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 Dec 2018 (6 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 01 May 2024 (9 months ago) |
| Document Number: | L18000291910 |
| FEI/EIN Number | 83-2949970 |
| Mail Address: | 6240 LAKE OSPREY DRIVE, SARASOTA, FL 34240 |
| Address: | 23641 FL-54, LUTZ, FL 33559 |
| ZIP code: | 33559 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861956070 | 2019-01-22 | 2019-01-22 | 23641 STATE ROAD 54, LUTZ, FL, 335597306, US | 23641 STATE ROAD 54, LUTZ, FL, 335597306, US | |||||||||||||
|
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| Phone | +1 813-343-4649 |
Authorized person
| Name | STEPHANIE GOMEZ |
| Role | CREDENTIALING SUPERVISOR |
| Phone | 3052742499 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| GALLO, DONALD A, D.M.D. | Manager | 6240 LAKE OSPREY DRIVE, SARASOTA, FL 34240 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT OF RA/RO CHG | 2024-05-01 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-05-01 | C T CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-05-01 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| Name | Date |
|---|---|
| CORLCRACHG | 2024-05-01 |
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-25 |
| ANNUAL REPORT | 2019-06-17 |
| Florida Limited Liability | 2018-12-20 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
