| Entity Name: | PINELLAS PEDIATRIC DENTISTRY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Jun 2019 (6 years ago) |
| Document Number: | L19000154613 |
| FEI/EIN Number | 84-2050924 |
| Address: | 6108 KIPPS COLONY DRIVE W, ST PETERSBURG, FL, 33707, US |
| Mail Address: | 4020 PORTSMOUTH RD, LARGO, FL, 33771, US |
| ZIP code: | 33707 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154102523 | 2023-10-11 | 2024-03-18 | 14699 113TH AVE, LARGO, FL, 337744309, US | 4020 PORTSMOUTH RD, LARGO, FL, 337713318, US | |||||||||||||||
|
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| Phone | +1 863-808-6124 |
| Phone | +1 727-335-2500 |
Authorized person
| Name | DR. NANCY MONTGOMERY-EASLEY |
| Role | OWNER/DENTIST |
| Phone | 8638086124 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MONTGOMERY NANCY | Agent | 6108 KIPPS COLONY DRIVE W, ST PETERSBURG, FL, 33707 |
| Name | Role | Address |
|---|---|---|
| MONTGOMERY NANCY | Authorized Member | 6108 KIPPS COLONY DRIVE W, ST PETERSBURG, FL, 33707 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-09-23 | 6108 KIPPS COLONY DRIVE W, ST PETERSBURG, FL 33707 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-26 |
| Florida Limited Liability | 2019-06-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
