| Entity Name: | FL SPECIALTY DENTAL SERVICES, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 21 Feb 2023 (2 years ago) |
| Document Number: | L23000094231 |
| FEI/EIN Number | 92-2667279 |
| Address: | 2808 ENTERPRISE ROAD, SUITE 102, DEBARY, FL 32713 |
| Mail Address: | 1610 54TH AVENUE NORTH, SUITE 205, NASHVILLE, TN 37209 |
| ZIP code: | 32713 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871333690 | 2024-05-29 | 2024-05-29 | 1610 54TH AVE N STE 205, NASHVILLE, TN, 372091442, US | 2808 ENTERPRISE RD, DEBARY, FL, 327132753, US | |||||||||||||||
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| Phone | +1 615-678-0759 |
| Phone | +1 386-668-7776 |
Authorized person
| Name | CHARLOTTE DASCH |
| Role | DIREC OF CRED AND PROV REL |
| Phone | 5046380303 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| REGISTERED AGENT SOLUTIONS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| GLOMB, TIMOTHY A | Authorized Member | 2808 ENTERPRISE ROAD, SUITE 102, DEBARY, FL 32713 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-27 | 2894 REMINGTON GREEN LANE, SUITE A, TALLAHASSEE, FL 32308 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| Florida Limited Liability | 2023-02-21 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
