| Entity Name: | LAKELAND ORAL SURGERY AND SPECIALTY CENTER, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 30 Apr 2021 (4 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 01 May 2024 (9 months ago) |
| Document Number: | L21000202194 |
| FEI/EIN Number | 86-3855545 |
| Mail Address: | 6240 LAKE OSPREY DRIVE, SARASOTA, FL 34240 |
| Address: | 3845 South Florida Avenue, LAKELAND, FL 33813 |
| ZIP code: | 33813 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538895495 | 2022-07-25 | 2022-07-25 | 3845 S FLORIDA AVE, LAKELAND, FL, 338131122, US | 3845 S FLORIDA AVE, LAKELAND, FL, 338131122, US | |||||||||||||
|
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| Phone | +1 863-226-4486 |
Authorized person
| Name | MIKE COLE |
| Role | VP INSURANCE PLAN MANAGEMENT |
| Phone | 7274242990 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| GALLO, DONALD A | Manager | 6240 LAKE OSPREY DRIVE, SARASOTA, FL 34240 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000071641 | DENTAL SPECIALTY CENTER OF LAKELAND | ACTIVE | 2021-05-26 | 2026-12-31 | No data | 6240 LAKE OSPREY DRIVE, SARASOTA, FL, 34240 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT OF RA/RO CHG | 2024-05-01 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-05-01 | C T CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-05-01 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-07 | 3845 South Florida Avenue, LAKELAND, FL 33813 | No data |
| Name | Date |
|---|---|
| CORLCRACHG | 2024-05-01 |
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-07 |
| ANNUAL REPORT | 2022-04-26 |
| Florida Limited Liability | 2021-04-30 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
