| Entity Name: | K PATEL DDS PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Apr 2022 (3 years ago) |
| Document Number: | L22000197834 |
| FEI/EIN Number | 88-3375142 |
| Address: | 13900 County Road 455, Unit 109B, Clermont, FL, 34711-9020, US |
| Mail Address: | 13900 County Road 455, Unit 109B, Clermont, FL, 34711-9020, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841998697 | 2023-02-21 | 2023-04-05 | 7193 SOMERSWORTH DR., ORLANDO, FL, 32835, US | 13900 COUNTRY RD 455, 109B, CLERMONT, FL, 34711, US | |||||||||||||
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| Phone | +1 678-633-9944 |
Authorized person
| Name | DR. KEYURKUMAR PATEL |
| Role | OWNER |
| Phone | 6786339944 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PATEL MANISHA N | Agent | 15030 Brodie Lane, Winter Garden, FL, 34787 |
| Name | Role | Address |
|---|---|---|
| PATEL KEYUR | Manager | 7193 SOMERSWORTH DR, ORLANDO, FL, 32835 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000065353 | ELITEDENTAL OF CLERMONT | ACTIVE | 2023-05-25 | 2028-12-31 | No data | 13900 COUNTY ROAD 455, UNIT 109-B, CLERMONT, FL, 34711--905 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-23 | 15030 Brodie Lane, Winter Garden, FL 34787 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-17 | 13900 County Road 455, Unit 109B, Clermont, FL 34711-9020 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-17 | 13900 County Road 455, Unit 109B, Clermont, FL 34711-9020 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-17 |
| Florida Limited Liability | 2022-04-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
