| Entity Name: | ANASTASIA DENTAL ASSOCIATES, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Nov 2019 (5 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 24 Apr 2024 (9 months ago) |
| Document Number: | L19000280660 |
| FEI/EIN Number | 84-3808108 |
| Mail Address: | 6240 LAKE OSPREY DRIVE, SARASOTA, FL, 34240 |
| Address: | 3534 A1A SOUTH, SAINT AUGUSTINE, FL, 32080 |
| ZIP code: | 32080 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992335004 | 2020-01-17 | 2020-01-17 | 3534 A1A S, ST AUGUSTINE, FL, 320806899, US | 3534 A1A S, ST AUGUSTINE, FL, 320806899, US | |||||||||||||
|
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| Phone | +1 904-461-5788 |
Authorized person
| Name | MIKE COLE |
| Role | VP INSURANCE PLAN MANAGEMENT |
| Phone | 7274242990 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| GALLO DONALD A | Manager | 6240 LAKE OSPREY DRIVE, SARASOTA, FL, 34240 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-01 | 3534 A1A SOUTH, SAINT AUGUSTINE, FL 32080 | No data |
| LC STMNT OF RA/RO CHG | 2024-04-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-24 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-04-24 | C T CORPORATION SYSTEM | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-01 | 3534 A1A SOUTH, SAINT AUGUSTINE, FL 32080 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-07-24 |
| CORLCRACHG | 2024-04-24 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-29 |
| Florida Limited Liability | 2019-11-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
