| Entity Name: | VALLO RIVERVIEW, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 10 Aug 2022 (3 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 09 Sep 2022 (2 years ago) |
| Document Number: | L22000352076 |
| FEI/EIN Number | 88-3758928 |
| Address: | 10909 W. LINEBAUGH AVENUE, SUITE 100, TAMPA, FL 33626-1741 |
| Mail Address: | 10909 W. LINEBAUGH AVENUE, SUITE 100, TAMPA, FL 33626-1741 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598529687 | 2024-02-08 | 2024-02-08 | 10909 W LINEBAUGH AVE STE 100, TAMPA, FL, 336261741, US | 10555 BLOOMINGDALE RIDGE DR, RIVERVIEW, FL, 33578, US | |||||||||||||||||||
|
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| Phone | +1 813-536-7766 |
| Fax | 8134449858 |
| Phone | +1 813-252-2273 |
| Fax | 8139405182 |
Authorized person
| Name | DR. ANDREW MICHAEL VALLO |
| Role | DENTIST |
| Phone | 8132522273 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Vallo, Andrew Michael | Agent | 12425 Seabrook Dr, Tampa, FL 33626 |
| Name | Role | Address |
|---|---|---|
| VALLO, ANDREW M | Authorized Member | 10909 W. LINEBAUGH AVENUE; SUITE 100, TAMPA, FL 33626-1741 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000126439 | THE DENTAL BOUTIQUE RIVERVIEW | ACTIVE | 2022-10-10 | 2027-12-31 | No data | 10909 W LINEBAUGH AVENUE SUITE 100, TAMPA, FL, 33626 |
| G22000097667 | THE DENTAL BOUTIQUE RIVERVIEW | ACTIVE | 2022-08-18 | 2027-12-31 | No data | 10909 W. LINEBAUGH AVENUE, SUITE 100, TAMPA, FL, 33626-1741 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-02-06 | Vallo, Andrew Michael | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-06 | 12425 Seabrook Dr, Tampa, FL 33626 | No data |
| LC AMENDMENT AND NAME CHANGE | 2022-09-09 | VALLO RIVERVIEW, PLLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-02-06 |
| LC Amendment and Name Change | 2022-09-09 |
| Florida Limited Liability | 2022-08-10 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
