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PEDIATRIC DENTAL SPECIALISTS OF FLORIDA PLLC****** - Florida Company Profile

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Company Details

Entity Name: PEDIATRIC DENTAL SPECIALISTS OF FLORIDA PLLC******
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Jan 2023 (3 years ago)
Document Number: L23000021932
FEI/EIN Number 92-1851636
Address: 3983 DESTINATION DRIVE, OSPREY, FL, 34229, US
Mail Address: 3983 DESTINATION DRIVE,, OSPREY, FL, 34229, US
ZIP code: 34229
City: Osprey
County: Sarasota
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SPIEGEL & UTRERA, P.A. Agent 1840 SW 22ND ST., MIAMI, FL, 33145
MICHELLE L THOMAS Manager 3983 DESTINATION DRIVE, OSPREY, 34229
ROBBIE F HARRELL Manager 3983 DESTINATION DRIVE, OSPREY, 34229

National Provider Identifier

NPI Number:
1396433512
Certification Date:
2023-04-26

Authorized Person:

Name:
DR. ROBBIE HARRELL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-12 3983 DESTINATION DRIVE, UNIT 201, OSPREY, FL 34229 -
CHANGE OF MAILING ADDRESS 2023-04-12 3983 DESTINATION DRIVE, UNIT 201, OSPREY, FL 34229 -

Documents

Name Date
ANNUAL REPORT 2025-02-04
ANNUAL REPORT 2024-02-24
Florida Limited Liability 2023-01-19

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Date of last update: 01 Aug 2025

Sources: Florida Department of State