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DR. PHILLIPS DENTISTRY, PLLC - Florida Company Profile

Company Details

Entity Name: DR. PHILLIPS DENTISTRY, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

DR. PHILLIPS DENTISTRY, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 11 Dec 2019 (5 years ago)
Document Number: L19000301713
FEI/EIN Number 84-3917901

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 7800 W SAND LAKE RD, SUITE 220, ORLANDO, FL, 32819, UN
Mail Address: 865 BALCH AVE, WINTER PARK, FL, 32789, UN
ZIP code: 32819
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285226613 2021-02-08 2021-02-08 7800 W SAND LAKE RD STE 220, ORLANDO, FL, 328195198, US 7800 W SAND LAKE RD STE 220, ORLANDO, FL, 328195198, US

Contacts

Phone +1 407-226-3350

Authorized person

Name PETER KELLY
Role OWNER
Phone 4103031528

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Other Provider Identifiers

Issuer STATE LICENSE
Number DN19430
State FL
Issuer STATE LICENSE
Number DN11133
State FL
Issuer STATE LICENSE
Number DN25609
State FL

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

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

Date of last update: 01 Apr 2025

Sources: Florida Department of State