| Entity Name: | CHRYSALIS COSMETIC & RESTORATIVE DENTISTRY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Dec 2021 (3 years ago) |
| Document Number: | L21000533738 |
| FEI/EIN Number | 87-4076547 |
| Address: | 5202 HEADLAND HILLS AVE, TAMPA, FL, 33625, US |
| Mail Address: | 5202 HEADLAND HILLS AVE, TAMPA, FL, 33625, US |
| ZIP code: | 33625 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134969017 | 2024-05-29 | 2024-06-09 | 2252 GUNN HIGHWAY, ODESSA, FL, 33556, US | 2252 GUNN HIGHWAY, ODESSA, FL, 33556, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 813-343-0713 |
| Fax | 8133430723 |
Authorized person
| Name | DR. CAROLYN NORTON |
| Role | OWNER DENTIST |
| Phone | 8133430713 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NORTON CAROLYN | Agent | 5202 HEADLAND HILLS AVE, TAMPA, FL, 33625 |
| Name | Role | Address |
|---|---|---|
| NORTON CAROLYN ADr. | Member | 5202 HEADLAND HILLS AVE, TAMPA, FL, 33625 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-02 | 5202 HEADLAND HILLS AVE, TAMPA, FL 33625 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-02 | 5202 HEADLAND HILLS AVE, TAMPA, FL 33625 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-02 | 5202 HEADLAND HILLS AVE, TAMPA, FL 33625 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-16 |
| ANNUAL REPORT | 2023-02-16 |
| ANNUAL REPORT | 2022-02-02 |
| Florida Limited Liability | 2021-12-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
