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LAND O'LAKES PEDIATRIC DENTISTRY LLC - Florida Company Profile

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Company Details

Entity Name: LAND O'LAKES PEDIATRIC DENTISTRY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Dec 2023 (2 years ago)
Document Number: L23000557008
FEI/EIN Number 93-4914278
Mail Address: 16688 N DALE MABRY HWY, TAMPA, FL, 33618
Address: 5442 LAND O' LAKES BLVD, LAND O' LAKES, FL, 34639
ZIP code: 34639
City: Land O'Lakes
County: Pasco
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
YARBROUGH RONALD LJR Manager 16688 N DALE MABRY HWY, TAMPA, FL, 33618
LARKIN BRANDON Manager 16688 N DALE MABRY HWY, TAMPA, FL, 33618
YARBROUGH RONALD Agent 16688 N DALE MABRY HWY, TAMPA, FL, 33618

National Provider Identifier

NPI Number:
1871362632
Certification Date:
2023-12-21

Authorized Person:

Name:
MRS. NELLIE LIN
Role:
DIRECTOR OF OPERATIONS
Phone:

Taxonomy:

Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

Fax:
8133337323

Documents

Name Date
ANNUAL REPORT 2024-03-04
Florida Limited Liability 2023-12-19

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Date of last update: 03 Jul 2025

Sources: Florida Department of State