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CRAWFORD IMPLANT AND LASER PERIODONTICS, PLLC - Florida Company Profile

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Company Details

Entity Name: CRAWFORD IMPLANT AND LASER PERIODONTICS, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 17 Nov 2023 (2 years ago)
Document Number: L23000520360
FEI/EIN Number 93-4755392
Address: 5601 1ST AVENUE SOUTH, ST. PETERSBURG, FL, 33703
Mail Address: 5601 1ST AVENUE SOUTH, ST. PETERSBURG, FL, 33703
ZIP code: 33703
City: Saint Petersburg
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CRAWFORD BRUCE M Authorized Member 5601 1ST AVENUE SOUTH, ST. PETERSBURG, FL, 33703
CRAWFORD BRUCE M Manager 5601 1ST AVENUE SOUTH, ST. PETERSBURG, FL, 33703
CRAWFORD BRUCE M Agent 5601 1ST AVENUE SOUTH, ST. PETERSBURG, FL, 33703
BRUCE M. CRAWFORD, DMD, PA Authorized Member 5601 1ST AVENUE SOUTH, ST. PETERSBURG, FL, 33703

National Provider Identifier

NPI Number:
1518721760
Certification Date:
2024-02-09

Authorized Person:

Name:
MADALINE CRAWFORD
Role:
ACCOUNTANT
Phone:

Taxonomy:

Selected Taxonomy:
1223P0300X - Periodontist
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-01-01 5601 1ST AVENUE SOUTH, ST. PETERSBURG, FL 33703 -
CHANGE OF MAILING ADDRESS 2025-01-01 5601 1ST AVENUE SOUTH, ST. PETERSBURG, FL 33703 -
CHANGE OF PRINCIPAL ADDRESS 2024-01-01 5601 1ST AVENUE SOUTH, ST. PETERSBURG, FL 33703 -
CHANGE OF MAILING ADDRESS 2024-01-01 5601 1ST AVENUE SOUTH, ST. PETERSBURG, FL 33703 -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-01-10
ANNUAL REPORT 2024-01-09
Florida Limited Liability 2023-11-17

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Date of last update: 01 Aug 2025

Sources: Florida Department of State