| Entity Name: | STALLION DENTAL, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Jun 2021 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 11 Aug 2021 (4 years ago) |
| Document Number: | L21000277190 |
| FEI/EIN Number | 87-1545960 |
| Address: | 2701 Park Drive, Clearwater, FL, 33763, US |
| Mail Address: | 2701 Park Drive, Clearwater, FL, 33763, US |
| ZIP code: | 33763 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558025528 | 2021-10-26 | 2021-10-26 | 12701 SADDLE CLUB CIR APT 203, TAMPA, FL, 336359689, US | 2701 PARK DR STE 4, CLEARWATER, FL, 337631021, US | |||||||||||||
|
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| Phone | +1 727-304-3156 |
Authorized person
| Name | ZIAD AL ADHAM |
| Role | PRESIDENT |
| Phone | 7273043156 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AL ADHAM ZIAD DDS | Agent | 2701 Park Drive, Clearwater, FL, 33763 |
| Name | Role | Address |
|---|---|---|
| AL ADHAM ZIAD DDS | Manager | 2701 Park Drive Suite 4, Clearwater, FL, 33763 |
| Alqasemi Hiba | Manager | 2701 Park Drive, Clearwater, FL, 33763 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000112397 | BEYOND DENTISTRY CLEARWATER | ACTIVE | 2021-08-30 | 2026-12-31 | No data | 2701 PARK DRIVE STE 4, CLEARWATER, FL, 33763 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-15 | 2701 Park Drive, Suite 4, Clearwater, FL 33763 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-15 | 2701 Park Drive, Suite 4, Clearwater, FL 33763 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-15 | 2701 Park Drive, Suite 4, Clearwater, FL 33763 | No data |
| LC AMENDMENT | 2021-08-11 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-03-19 |
| ANNUAL REPORT | 2022-03-15 |
| LC Amendment | 2021-08-11 |
| Florida Limited Liability | 2021-06-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
