| Entity Name: | LILLYBASH DENTAL STUDIO, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 08 Sep 2020 (4 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | L20000280410 |
| FEI/EIN Number | 85-3047689 |
| Address: | 11280 BOYETTE ROAD, SUITE 101, RIVERVIEW, FL, 33569, US |
| Mail Address: | 11280 BOYETTE ROAD, SUITE 101, RIVERVIEW, FL, 33569, US |
| ZIP code: | 33569 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366035677 | 2021-02-17 | 2021-02-17 | 4312 W SYLVAN RAMBLE ST, TAMPA, FL, 336094316, US | 11280 BOYETTE RD, SUIT #101, RIVERVIEW, FL, 33569, US | |||||||||||||||
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| Phone | +1 813-203-5291 |
| Phone | +1 813-567-3333 |
Authorized person
| Name | DR. DANOOSH SHIRAVAND AMROOEI |
| Role | OWNER/ DOCTOR |
| Phone | 8132035291 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Rezabakhshpour Sam S | Agent | 11280 BOYETTE ROAD, RIVERVIEW, FL, 33569 |
| Name | Role | Address |
|---|---|---|
| AMROOEI DANOOSH S | Manager | 11280 BOYETTE ROAD, SUITE 101, RIVERVIEW, FL, 33569 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2025-01-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-02-02 | Rezabakhshpour, Sam S | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-02-06 |
| Florida Limited Liability | 2020-09-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
