| Entity Name: | AZALEA MARION, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 May 2019 (6 years ago) |
| Document Number: | L19000127532 |
| FEI/EIN Number | 84-1832980 |
| Address: | 601 S. HARBOUR ISLAND BLVD STE 213-A, TAMPA, FL, 33602, US |
| Mail Address: | 601 S. HARBOUR ISLAND BLVD STE 213-A, TAMPA, FL, 33602, US |
| ZIP code: | 33602 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639716012 | 2019-12-05 | 2019-12-05 | 601 S HARBOUR ISLAND BLVD STE 200, TAMPA, FL, 336025735, US | 8585 SW HIGHWAY 200 UNIT 3, OCALA, FL, 344819643, US | |||||||||||||||
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| Phone | +1 352-237-7896 |
| Fax | 3523553069 |
Authorized person
| Name | DR. REMAL PATEL |
| Role | DENTAL DIRECTOR |
| Phone | 8133403510 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KOCHE DAVID L | Agent | 401 E. JACKSON STREET, SUITE 1500, TAMPA, FL, 33602 |
| Name | Role | Address |
|---|---|---|
| PAGIDIPATI AMI | Manager | 601 S. HARBOUR ISLAND BLVD STE 213-A, TAMPA, FL, 33602 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-22 | 401 E. JACKSON STREET, SUITE 1500, TAMPA, FL 33602 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-06-30 |
| Florida Limited Liability | 2019-05-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
