| Entity Name: | BRANDON FAMILY DENTAL CARE, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Feb 2019 (6 years ago) |
| Document Number: | L19000043449 |
| FEI/EIN Number | 83-3736365 |
| Address: | 118 CEDAR HAMMOCK LN, PANAMA CITY BEACH, FL, 32407 |
| Mail Address: | 118 CEDAR HAMMOCK LN, PANAMA CITY BEACH, FL, 32407 |
| ZIP code: | 32407 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679116412 | 2019-10-24 | 2019-12-18 | 227 N KNIGHTS AVE, BRANDON, FL, 335104390, US | 227 N KNIGHTS AVE, BRANDON, FL, 335104390, US | |||||||||||||||
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| Phone | +1 813-685-5610 |
| Fax | 8136895904 |
Authorized person
| Name | DONNA L LICAUSE |
| Role | OFFICE MANAGER |
| Phone | 8136855611 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PATEL ANISHKUMAR | Agent | 118 CEDAR HAMMOCK LN, PANAMA CITY BEACH, FL, 32407 |
| Name | Role | Address |
|---|---|---|
| PATEL ANISHKUMAR | Manager | 118 CEDAR HAMMOCK LN, PANAMA CITY BEACH, FL, 32407 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-04-09 |
| ANNUAL REPORT | 2022-04-17 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-07-04 |
| Florida Limited Liability | 2019-02-12 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
