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 |
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 | |||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
MUSCA, DANIEL G, ESQ. | Agent | 2445 TAMPA ROAD, UNIT I, PALM HARBOR, FL 34683 |
Name | Role | Address |
---|---|---|
PEREZ, MONICA, D.M.D. | Manager | 13442 CANOPY CREEK DR., TAMPA, FL 33625 |
Name | Date |
---|---|
Florida Limited Liability | 2024-03-29 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State