| Entity Name: | CHELSEA BROCKWAY DDS MS PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Aug 2023 (a year ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 22 Oct 2024 (3 months ago) |
| Document Number: | L23000371447 |
| FEI/EIN Number | 93-2821645 |
| Address: | 1527 S HIGHLAND AVE, CLEARWATER, FL 33756 |
| Mail Address: | 10265 Gandy Blvd N, Apt 1615, St Petersburg, FL 33702 |
| ZIP code: | 33756 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366264772 | 2024-10-28 | 2024-10-28 | 10265 GANDY BLVD N APT 1615, ST PETERSBURG, FL, 337022335, US | 1527 S HIGHLAND AVE, CLEARWATER, FL, 337562374, US | |||||||||||||||
|
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| Phone | +1 727-417-3958 |
| Phone | +1 727-250-0522 |
Authorized person
| Name | CHELSEA BROCKWAY |
| Role | OWNER |
| Phone | 7274173958 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BROCKWAY, CHELSEA | Agent | 1527 S HIGHLAND AVE, CLEARWATER, FL 33756 |
| Name | Role | Address |
|---|---|---|
| BROCKWAY, CHELSEA | Member | 1527 S HIGHLAND AVE, CLEARWATER, FL 33756 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-10-22 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-22 | 1527 S HIGHLAND AVE, CLEARWATER, FL 33756 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-10-22 | BROCKWAY, CHELSEA | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-10-22 |
| Florida Limited Liability | 2023-08-07 |
Date of last update: 09 Jan 2025
Sources: Florida Department of State
