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ATA DENTAL KISSIMMEE LLC

Company Details

Entity Name: ATA DENTAL KISSIMMEE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 02 Apr 2019 (6 years ago)
Document Number: L19000091015
FEI/EIN Number 83-4253715
Address: 3192 S JOHN YOUNG PARKWAY, B, KISSIMMEE, FL, 34746, US
Mail Address: 3192 S JOHN YOUNG PARKWAY, B, KISSIMMEE, FL, 34746, US
ZIP code: 34746
County: Osceola
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366001471 2019-06-12 2019-06-12 3192 S JOHN YOUNG PKWY, KISSIMMEE, FL, 347468814, US 3192 S JOHN YOUNG PKWY STE B, KISSIMMEE, FL, 347468814, US

Contacts

Phone +1 407-870-5151
Fax 4078702556

Authorized person

Name DR. JOSEPH ATA
Role OWNER
Phone 4078705151

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role Address
Varga Renee Agent 501 S New York Ave, Winter Park, FL, 32789

Authorized Member

Name Role Address
ATA JOSEPH A Authorized Member 3192 S JOHN YOUNG PARKWAY SUITE B, KISSIMMEE, FL, 34746
ATA JILL E Authorized Member 3192 S JOHN YOUNG PARKWAY SUITE B, KISSIMMEE, FL, 34746

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-04-27 Varga, Renee No data
REGISTERED AGENT ADDRESS CHANGED 2022-04-27 501 S New York Ave, Suite 100, Winter Park, FL 32789 No data

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-04-26
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-06-29
Florida Limited Liability 2019-04-02

Date of last update: 02 Feb 2025

Sources: Florida Department of State