| Entity Name: | TAMPA PROSTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Jun 2019 (6 years ago) |
| Document Number: | L19000161880 |
| FEI/EIN Number | 84-2350896 |
| Address: | 7749 VAN DYKE ROAD, ODESSA, FL, 33556, US |
| Mail Address: | 7749 VAN DYKE ROAD, ODESSA, FL, 33556, US |
| ZIP code: | 33556 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669048823 | 2021-05-28 | 2021-05-28 | 7749 VAN DYKE RD, ODESSA, FL, 335564632, US | 7749 VAN DYKE RD, ODESSA, FL, 335564632, US | |||||||||||||
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| Phone | +1 561-866-6482 |
Authorized person
| Name | NGOC TRANG CAROLINE TRUONG |
| Role | PROVIDER |
| Phone | 5618666482 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TRUONG NGOC TRANG C | Agent | 7749 VAN DYKE ROAD, ODESSA, FL, 33556 |
| Name | Role | Address |
|---|---|---|
| TRUONG Ngoc Trang C | Manager | 7749 VAN DYKE ROAD, ODESSA, FL, 33556 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000036540 | JOLIE SMILES DENTURE & IMPLANT STUDIO | ACTIVE | 2022-03-21 | 2027-12-31 | No data | 7749 VAN DYKE ROAD, ODESSA, FL, 33556 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-02 | 7749 VAN DYKE ROAD, ODESSA, FL 33556 | No data |
| CHANGE OF MAILING ADDRESS | 2021-11-18 | 7749 VAN DYKE ROAD, ODESSA, FL 33556 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-06-02 | 7749 VAN DYKE ROAD, ODESSA, FL 33556 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-20 |
| ANNUAL REPORT | 2023-04-04 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-05-19 |
| Florida Limited Liability | 2019-06-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
