| Entity Name: | STEPHEN GEORGE, DMD, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Apr 2021 (4 years ago) |
| Document Number: | L21000184465 |
| FEI/EIN Number | 86-3831146 |
| Address: | 606 W MAGNOLIA ST, LEESBURG, FL, 34748, US |
| Mail Address: | 606 W MAGNOLIA ST, LEESBURG, FL, 34748, US |
| ZIP code: | 34748 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972174720 | 2021-07-02 | 2021-07-12 | 606 W MAGNOLIA ST, LEESBURG, FL, 347485892, US | 606 W MAGNOLIA ST, LEESBURG, FL, 347485892, US | |||||||||||||
|
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| Phone | +1 352-787-4800 |
Authorized person
| Name | DR. STEPHEN W GEORGE |
| Role | MANAGER |
| Phone | 3527874800 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BLALOCK WALTERS, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| GEORGE STEPHEN DMD | Manager | 606 W. Magnolia Street, Lessburg, FL, 34748 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000143108 | THE MAIN STREET DENTISTS | ACTIVE | 2021-10-25 | 2026-12-31 | No data | 606 WEST MAGNOLIA STREET, LEESBURG, FL, 34748 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-08-09 | 606 W MAGNOLIA ST, LEESBURG, FL 34748 | No data |
| CHANGE OF MAILING ADDRESS | 2021-08-09 | 606 W MAGNOLIA ST, LEESBURG, FL 34748 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-02-09 |
| ANNUAL REPORT | 2022-01-10 |
| Florida Limited Liability | 2021-04-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
