| Entity Name: | BAY AREA MODERN DENTISTRY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Mar 2021 (4 years ago) |
| Document Number: | L21000109454 |
| FEI/EIN Number | 86-3060205 |
| Address: | 506 20TH AVE NE, SAINT PETERSBURG, FL, 33704, US |
| Mail Address: | 506 20TH AVE NE, SAINT PETERSBURG, FL, 33704, US |
| ZIP code: | 33704 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134702111 | 2021-04-28 | 2021-04-28 | 506 20TH AVE NE, ST PETERSBURG, FL, 337044622, US | 5299 PARK BLVD N, PINELLAS PARK, FL, 337813418, US | |||||||||||||||
|
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| Phone | +1 727-686-1808 |
| Phone | +1 727-547-8227 |
Authorized person
| Name | IVO BUSHATI |
| Role | DENTIST |
| Phone | 7275478227 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BUSHATI IVO | Agent | 506 20TH AVE NE, SAINT PETERSBURG, FL, 33704 |
| Name | Role | Address |
|---|---|---|
| BUSHATI IVO | Manager | 506 20TH AVE NE, SAINT PETERSBURG, FL, 33704 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-09 |
| ANNUAL REPORT | 2024-01-26 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-04-06 |
| Florida Limited Liability | 2021-03-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
