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GUAVA DENTAL, LLC - Florida Company Profile

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Company Details

Entity Name: GUAVA DENTAL, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 13 Sep 2023 (2 years ago)
Document Number: L23000426120
FEI/EIN Number 93-3391602
Address: 10672 Bloomingdale Ave, Suite 102, Riverview, FL, 33578, US
Mail Address: 10672 Bloomingdale Ave, Suite 102, Riverview, FL, 33578, US
ZIP code: 33578
City: Riverview
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
NEVAREZ GONZALEZ LESLIE L Manager 10672 Bloomingdale Ave, Suite 102, Riverview, FL, 33578
GONZALEZ RICARDO D Manager 10672 Bloomingdale Ave, Suite 102, Riverview, FL, 33578
NEVAREZ GONZALEZ LESLIE L Agent 10672 Bloomingdale Ave, Suite 102, Riverview, FL, 33578

National Provider Identifier

NPI Number:
1346098589
Certification Date:
2024-05-12

Authorized Person:

Name:
DR. LESLIE LYNETTE NEVAREZ GONZALEZ
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-08-22 10672 Bloomingdale Ave, Suite 102, Riverview, FL 33578 -
CHANGE OF PRINCIPAL ADDRESS 2024-01-09 10672 Bloomingdale Ave, Suite 102, Riverview, FL 33578 -

Documents

Name Date
ANNUAL REPORT 2024-01-09
Florida Limited Liability 2023-09-13

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Date of last update: 01 Aug 2025

Sources: Florida Department of State