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BAY SMILES PLLC

Company Details

Entity Name: BAY SMILES PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 29 Mar 2024 (10 months ago)
Document Number: L24000153239
Address: 13442 CANOPY CREEK DR., TAMPA, FL 33625
Mail Address: 13442 CANOPY CREEK DR., TAMPA, FL 33625
ZIP code: 33625
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144074618 2024-04-12 2024-05-07 15711 MAPLEDALE BLVD, STE. A, TAMPA, FL, 336243112, US 15711 MAPLEDALE DR STE A, TAMPA, FL, 336243112, US

Contacts

Phone +1 305-219-8991
Phone +1 813-624-1600
Fax 8132641660

Authorized person

Name MONICA PEREZ
Role OWNER
Phone 3052198991

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role Address
MUSCA, DANIEL G, ESQ. Agent 2445 TAMPA ROAD, UNIT I, PALM HARBOR, FL 34683

Manager

Name Role Address
PEREZ, MONICA, D.M.D. Manager 13442 CANOPY CREEK DR., TAMPA, FL 33625

Documents

Name Date
Florida Limited Liability 2024-03-29

Date of last update: 07 Jan 2025

Sources: Florida Department of State