| Entity Name: | PHILLIP KRAVER DMD, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Apr 2021 (4 years ago) |
| Document Number: | L21000192807 |
| FEI/EIN Number | 86-3736314 |
| Address: | 3001 DEL PRADO BLVD. S, CAPE CORAL, FL 33904 |
| Mail Address: | 3001 DEL PRADO BLVD. S, CAPE CORAL, FL 33904 |
| ZIP code: | 33904 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346912565 | 2021-10-05 | 2021-10-05 | 3001 DEL PRADO BLVD. S., CAPE CORAL, FL, 339047208, US | 3001 DEL PRADO BLVD. S., CAPE CORAL, FL, 339047208, US | |||||||||||||||
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| Phone | +1 239-549-8921 |
| Fax | 2395422811 |
Authorized person
| Name | PHILLIP BRIAN KRAVER |
| Role | DENTIST / OWNER |
| Phone | 2395498921 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KRAVER, JENNIFER | Agent | 1447 FRIENDSHIP WALKWAY, FORT MYERS, FL 33901 |
| Name | Role | Address |
|---|---|---|
| Kraver, Jennifer G | Manager | 3001 DEL PRADO BLVD. S, CAPE CORAL, FL 33904 |
| KRAVER, PHILLIP | Manager | 3001 DEL PRADO BLVD S, CAPE CORAL, FL 33904 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000129684 | CAPE DENTAL CARE | ACTIVE | 2021-09-28 | 2026-12-31 | No data | 3001 DEL PRADO BLVD. S, CAPE CORAL, FL, 33904 |
| G21000107556 | CAPE DENTAL CARE | ACTIVE | 2021-08-20 | 2026-12-31 | No data | 3001 DEL PRADO BLVD S, CAPE CORAL, FL, 33904 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-21 | 3001 DEL PRADO BLVD. S, CAPE CORAL, FL 33904 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-01-21 |
| Florida Limited Liability | 2021-04-26 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
