| Entity Name: | TAVARES DENTAL PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Feb 2019 (6 years ago) |
| Document Number: | L19000058647 |
| FEI/EIN Number | 83-3933180 |
| Address: | 109 W MAIN ST, TAVARES, FL, 32778 |
| Mail Address: | 838 HWY 466, LADY LAKE, FL, 32159 |
| ZIP code: | 32778 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588296883 | 2020-02-05 | 2020-02-05 | 838 HIGHWAY 466, LADY LAKE, FL, 321593918, US | 109 W MAIN ST, TAVARES, FL, 327783809, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 801-971-2283 |
| Phone | +1 352-343-2821 |
Authorized person
| Name | DR. ROBERT KENT HOWELL |
| Role | MANAGER |
| Phone | 8019712283 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HOWELL ROBERT K | Agent | 838 HWY 466, LADY LAKE, FL, 32159 |
| Name | Role | Address |
|---|---|---|
| HOWELL ROBERT K | Manager | 838 HIGHWAY 466, LADY LAKE, FL, 32159 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-31 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-02-11 |
| ANNUAL REPORT | 2021-02-21 |
| ANNUAL REPORT | 2020-02-14 |
| Florida Limited Liability | 2019-02-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
