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DR. PHILLIPS DENTISTRY, PLLC - Florida Company Profile

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Company Details

Entity Name: DR. PHILLIPS DENTISTRY, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 11 Dec 2019 (6 years ago)
Document Number: L19000301713
FEI/EIN Number 84-3917901
Address: 7800 W SAND LAKE RD, SUITE 220, ORLANDO, FL, 32819, UN
Mail Address: 7800 W SANDLAKE RD STE 220, ORLANDO, FL, 32819, US
ZIP code: 32819
City: Orlando
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
KELLY PETER Manager 865 BALCH AVE, WINTER PARK, FL, 32789
Kelly Peter Agent 865 BALCH AVE, WINTER PARK, FL, 32789

National Provider Identifier

NPI Number:
1285226613
Certification Date:
2021-02-08

Authorized Person:

Name:
PETER KELLY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2020-06-15 Kelly, Peter -

Documents

Name Date
ANNUAL REPORT 2024-03-15
ANNUAL REPORT 2023-02-24
ANNUAL REPORT 2022-01-30
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-06-15
Florida Limited Liability 2019-12-11

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Date of last update: 02 Jul 2025

Sources: Florida Department of State