| Entity Name: | BRANDON ORAL SURGERY AND SPECIALTY CENTER, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 Jul 2023 (2 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 23 Jan 2025 (23 days ago) |
| Document Number: | L23000339684 |
| FEI/EIN Number | 93-2815291 |
| Address: | 123 N OAKWOOD AVE, BRANDON, FL 33510 |
| Mail Address: | 6240 LAKE OSPREY DRIVE, SARASOTA, FL 34240 |
| ZIP code: | 33510 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396597860 | 2024-04-05 | 2024-04-05 | 123 N OAKWOOD AVE UNIT C, BRANDON, FL, 335104629, US | 123 N OAKWOOD AVE UNIT C, BRANDON, FL, 335104629, US | |||||||||||||
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| Phone | +1 813-708-7430 |
Authorized person
| Name | MIKE COLE |
| Role | SVP INSURANCE PLAN MANAGEMENT |
| Phone | 7274242990 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 SOUTH PINE ISLAND ROAD, SUITE 250, PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| GALLO, DONALD | Manager | 6240 LAKE OSPREY DRIVE, SARASOTA, FL 34240 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2025-01-23 | CT CORPORATION SYSTEM | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-07-09 | 123 N OAKWOOD AVE, BRANDON, FL 33510 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2025-01-23 |
| Florida Limited Liability | 2023-07-18 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
