| Entity Name: | JONATHAN COLUCCI, DMD, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Jun 2024 (8 months ago) |
| Document Number: | L24000285258 |
| Address: | 10330 N DALE MABRY HWY, UNIT 150, TAMPA, FL 33618 |
| Mail Address: | 10706 LAKE CARROLL WAY, TAMPA, FL 33618 |
| ZIP code: | 33618 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023848256 | 2024-08-02 | 2024-08-02 | 10330 N DALE MABRY HWY STE 150, TAMPA, FL, 336184404, US | 10330 N DALE MABRY HWY STE 150, TAMPA, FL, 336184404, US | |||||||||||||
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| Phone | +1 813-692-6965 |
Authorized person
| Name | JONATHAN COLUCCI |
| Role | OWNER |
| Phone | 6303804521 |
Taxonomy
| Taxonomy Code | 1223D0001X - Public Health Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| COLUCCI, JONATHAN | Agent | 10706 LAKE CARROLL WAY, TAMPA, FL 33618 |
| Name | Role | Address |
|---|---|---|
| COLUCCI, JONATHAN | Authorized Member | 10706 LAKE CARROLL WAY, TAMPA, FL 33618 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000100171 | BAY PREMIER DENTISTRY | ACTIVE | 2024-08-22 | 2029-12-31 | No data | 10706 LAKE CARROLL WAY, TAMPA, FL, 33618 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-06-24 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
