| Entity Name: | DEEP ROOTS PROJECT, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Nov 2023 (a year ago) |
| Document Number: | L23000514047 |
| FEI/EIN Number | 93-4750125 |
| Address: | 4509 W CULBREATH AVE, TAMPA, FL 33609 |
| Mail Address: | 4509 W CULBREATH AVE, TAMPA, FL 33609 |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548027204 | 2024-02-29 | 2024-02-29 | 4302 HENDERSON BLVD STE 117, TAMPA, FL, 336295693, US | 4302 HENDERSON BLVD STE 117, TAMPA, FL, 336295693, US | |||||||||||||||
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| Phone | +1 813-839-2273 |
| Fax | 8138392206 |
Authorized person
| Name | MRS. JENNIFER NICOLE VEGA |
| Role | PRACTICE MANAGER |
| Phone | 8138392273 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BAUER, MARNIE C | Agent | 4509 W CULBREATH AVE, TAMPA, FL 33609 |
| Name | Role | Address |
|---|---|---|
| BAUER, MARNIE C | Manager | 4509 W CULBREATH AVE, TAMPA, FL 33609 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| Florida Limited Liability | 2023-11-13 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
