| Entity Name: | DMITRY BARON, D.D.S., PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Apr 2023 (2 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 10 Jul 2023 (2 years ago) |
| Document Number: | L23000179781 |
| FEI/EIN Number | 92-3501545 |
| Address: | 721 W. Robertson St., SUITE 107, BRANDON, FL 33511 |
| Mail Address: | 721 W. Robertson St., SUITE 107, BRANDON, FL 33511 |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073203808 | 2023-05-15 | 2023-05-15 | 721 W ROBERTSON ST STE 107B, BRANDON, FL, 335114900, US | 721 W ROBERTSON ST STE 107B, BRANDON, FL, 335114900, US | |||||||||||||
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| Phone | +1 813-654-4545 |
Authorized person
| Name | DR. DMITRY BARON |
| Role | PERIODONTIST |
| Phone | 8136544545 |
Taxonomy
| Taxonomy Code | 1223P0300X - Periodontist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BARON, DMITRY, DDS | Agent | 1414 BLOOMINGDALE TRAILS BLVD, BRANDON, FL 33511 |
| Name | Role | Address |
|---|---|---|
| BARON, DMITRY, DDS | Manager | 1414 BLOOMINGDALE TRAILS BLVD, BRANDON, FL 33511 |
| Name | Role | Address |
|---|---|---|
| BARON, ELISABETH L | Authorized Representative | 1414 BLOOMINGDALE TRAILS BLVD, BRANDON, FL 33511 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000052708 | BRANDON PERIODONTICS | ACTIVE | 2023-04-26 | 2028-12-31 | No data | 721 W ROBERTSON STREET, BRANDON, FL, 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2023-07-10 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-05-17 | 721 W. Robertson St., SUITE 107, BRANDON, FL 33511 | No data |
| CHANGE OF MAILING ADDRESS | 2023-05-17 | 721 W. Robertson St., SUITE 107, BRANDON, FL 33511 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| LC Amendment | 2023-07-10 |
| Florida Limited Liability | 2023-04-11 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
