| Entity Name: | KARI MANN, D.D.S., PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Nov 2021 (3 years ago) |
| Document Number: | L21000499562 |
| FEI/EIN Number | 87-3737615 |
| Address: | 4117 Del Prado Boulevard South, cape coral, FL, 33904, US |
| Mail Address: | 4117 Del Prado Boulevard South, cape coral, FL, 33904, US |
| ZIP code: | 33904 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316605892 | 2021-12-02 | 2022-11-01 | 4117 DEL PRADO BLVD S, CAPE CORAL, FL, 339047164, US | 4117 DEL PRADO BLVD S, CAPE CORAL, FL, 339047164, US | |||||||||||||||||||
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| Phone | +1 206-484-6760 |
Authorized person
| Name | DR. KARI RENE MANN |
| Role | MEMBER |
| Phone | 2064846760 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI 1 |
| Number | 1841643640 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Mann Kari RDr. | Agent | 4117 Del Prado Boulevard South, cape coral, FL, 33904 |
| Name | Role | Address |
|---|---|---|
| MANN KARI DDS | Manager | 4117 Del Prado Boulevard South, cape coral, FL, 33904 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000055489 | KARI MANN DENTAL STUDIO | ACTIVE | 2023-05-02 | 2028-12-31 | No data | 4117 DEL PRADO BOULEVARD SOUTH, CAPE CORAL, FL, 33904 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-04-25 | Mann, Kari R, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-25 | 4117 Del Prado Boulevard South, cape coral, FL 33904 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-06-28 | 4117 Del Prado Boulevard South, cape coral, FL 33904 | No data |
| CHANGE OF MAILING ADDRESS | 2022-06-28 | 4117 Del Prado Boulevard South, cape coral, FL 33904 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-10 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-11 |
| Florida Limited Liability | 2021-11-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
