| Entity Name: | DAVENPORT DENTAL ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Jun 2021 (4 years ago) |
| Document Number: | L21000290534 |
| FEI/EIN Number | 87-1953968 |
| Address: | 2213 N. BLVD WEST, DAVENPORT, FL, 33837, US |
| Mail Address: | 13000 SW 95TH AVE, MIAMI, FL, 33176, US |
| ZIP code: | 33837 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508522368 | 2021-11-16 | 2021-11-16 | 2213 NORTH BLVD W, DAVENPORT, FL, 338378990, US | 2213 NORTH BLVD W, DAVENPORT, FL, 338378990, US | |||||||||||||
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| Phone | +1 863-256-3636 |
Authorized person
| Name | IVAN ZAMORA |
| Role | PRESIDENT |
| Phone | 3055864500 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ZAMORA IVAN | Agent | 2213 N. BLVD WEST, DAVENPORT, FL, 33837 |
| Name | Role | Address |
|---|---|---|
| ZAMORA IVAN | President | 2213 N. BLVD WEST, DAVENPORT, FL, 33837 |
| Name | Role | Address |
|---|---|---|
| ACOSTA LUIS AJr. | Secretary | 2213 N. BLVD WEST, DAVENPORT, FL, 33837 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-11 | 2213 N. BLVD WEST, DAVENPORT, FL 33837 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-25 | 2213 N. BLVD WEST, DAVENPORT, FL 33837 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-25 | 2213 N. BLVD WEST, DAVENPORT, FL 33837 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-03-30 |
| ANNUAL REPORT | 2022-01-25 |
| Florida Limited Liability | 2021-06-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
