| Entity Name: | DR. MICHAEL F. BATTLE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 Jan 2019 (6 years ago) |
| Document Number: | L19000042042 |
| FEI/EIN Number | 26-3557846 |
| Address: | 5921 Skimmer Point Blvd S, Gulfport, FL 33707 |
| Mail Address: | 5921 Skimmer Point Blvd S, Gulfport, FL 33707 |
| ZIP code: | 33707 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366674749 | 2009-08-18 | 2020-07-13 | 1955 1ST AVE N STE 101, ST. PETERSBURG, FL, 33713, US | 1955 1ST AVE N STE 101, ST. PETERSBURG, FL, 33713, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 727-327-5561 |
| Fax | 7272892836 |
Authorized person
| Name | DR. MICHAEL FLOYD BATTLE |
| Role | OWNER |
| Phone | 7273275561 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 5909675 |
| State | NC |
| Name | Role | Address |
|---|---|---|
| BATTLE, MICHAEL F, DR | Agent | 5921 Skimmer Point Blvd S, Gulfport, FL 33707 |
| Name | Role | Address |
|---|---|---|
| Battle, Michael F, DR | Manager | 5921 Skimmer Point Blvd S, Gulfport, FL 33707 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000084311 | DR. MICHAEL F. BATTLE, PLLC | ACTIVE | 2020-07-18 | 2025-12-31 | No data | 9309 N FLORIDA AVE, 111, TAMPA, FL, 33612 |
| G19000089804 | CITI DENTAL | EXPIRED | 2019-08-21 | 2024-12-31 | No data | 9309 N FLORIDA AVE 111, TAMPA, FL, 33612 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-30 | 5921 Skimmer Point Blvd S, Gulfport, FL 33707 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-30 | 5921 Skimmer Point Blvd S, Gulfport, FL 33707 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-30 | 5921 Skimmer Point Blvd S, Gulfport, FL 33707 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-29 |
| Florida Limited Liability | 2019-01-22 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3207678200 | 2020-08-04 | 0455 | PPP | 1955 1st Avenue North Suite 101, St. Petersburg, FL, 33713-8907 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 16 Feb 2025
Sources: Florida Department of State
