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DENTAL ASSOCIATES OF FLORIDA - COSMETIC AND IMPLANT DENTISTRY, PLLC

Company Details

Entity Name: DENTAL ASSOCIATES OF FLORIDA - COSMETIC AND IMPLANT DENTISTRY, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 18 May 2021 (4 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 24 Apr 2024 (9 months ago)
Document Number: L21000231025
FEI/EIN Number 87-0880913
Mail Address: 6240 LAKE OSPREY DRIVE, SARASOTA, FL 34240
Address: 133 SOUTH PEBBLE BEACH BOULEVARD, SUN CITY CENTER, FL 33573
ZIP code: 33573
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295487270 2022-01-21 2022-01-25 133 S PEBBLE BEACH BLVD, SUN CITY CENTER, FL, 335735791, US 133 S PEBBLE BEACH BLVD, SUN CITY CENTER, FL, 335735791, US

Contacts

Phone +1 813-773-3347

Authorized person

Name MIKE COLE
Role VP INSURANCE PLAN MANAGEMENT
Phone 7274242990

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes

Agent

Name Role
C T CORPORATION SYSTEM Agent

Manager

Name Role Address
GALLO, DONALD A Manager 6240 LAKE OSPREY DRIVE, SARASOTA, FL 34240

Events

Event Type Filed Date Value Description
LC STMNT OF RA/RO CHG 2024-04-24 No data No data
REGISTERED AGENT NAME CHANGED 2024-04-24 C T CORPORATION SYSTEM No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-24 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 No data
REINSTATEMENT 2022-12-23 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
LC NAME CHANGE 2021-09-27 DENTAL ASSOCIATES OF FLORIDA - COSMETIC AND IMPLANT DENTISTRY, PLLC No data

Documents

Name Date
ANNUAL REPORT 2024-04-25
CORLCRACHG 2024-04-24
ANNUAL REPORT 2023-04-26
REINSTATEMENT 2022-12-23
LC Name Change 2021-09-27
Florida Limited Liability 2021-05-18

Date of last update: 14 Jan 2025

Sources: Florida Department of State