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GUAVA DENTAL, LLC

Company Details

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

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346098589 2024-05-13 2024-05-13 10672 BLOOMINGDALE AVE UNIT 102, RIVERVIEW, FL, 335784291, US 10672 BLOOMINGDALE AVE UNIT 102, RIVERVIEW, FL, 335784291, US

Contacts

Phone +1 813-773-3601

Authorized person

Name DR. LESLIE LYNETTE NEVAREZ GONZALEZ
Role OWNER
Phone 8137733601

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Agent

Name Role Address
NEVAREZ GONZALEZ, LESLIE L Agent 6169 9TH AVENUE CIR NE, BRADENTON, FL 34212

Manager

Name Role Address
NEVAREZ GONZALEZ, LESLIE L Manager 6169 9TH AVENUE CIR NE, BRADENTON, FL 34212
GONZALEZ, RICARDO D Manager 6169 9TH AVENUE CIR NE, BRADENTON, FL 34212

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-08-22 10672 Bloomingdale Ave, Suite 102, Riverview, FL 33578 No data
CHANGE OF PRINCIPAL ADDRESS 2024-01-09 10672 Bloomingdale Ave, Suite 102, Riverview, FL 33578 No data

Documents

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

Date of last update: 09 Jan 2025

Sources: Florida Department of State