| Entity Name: | PEDRO A BELAUNZARAN DDS PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 31 Jul 2000 (25 years ago) |
| Document Number: | P00000072746 |
| FEI/EIN Number | 593656594 |
| Address: | 8130 W. WATERS AVENUE, SUITE 200-B, TAMPA, FL, 33615 |
| Mail Address: | 8130 W. WATERS AVENUE, SUITE 200-B, TAMPA, FL, 33615 |
| ZIP code: | 33615 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831433994 | 2012-11-15 | 2012-11-15 | 8130 W WATERS AVE, SUITE 200-B, TAMPA, FL, 336151821, US | 8130 W WATERS AVE, SUITE 200-B, TAMPA, FL, 336151821, US | |||||||||||||||||||||||
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| Phone | +1 813-243-4142 |
Authorized person
| Name | DR. PEDRO ANIBAL BELAUNZARAN |
| Role | DENSTIST/OWNER |
| Phone | 8132434142 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN0013554 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 074916800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BELAUNZARAN PEDRO A | Agent | 8130 W. WATERS AVENUE, TAMPA, FL, 33615 |
| Name | Role | Address |
|---|---|---|
| BELAUNZARAN PEDRO A | Director | 8130 W. WATERS AVENUE, SUITE 200-B, TAMPA, FL, 33615 |
| BELAUNZARAN GERTRUDIS | Director | 8130 W. WATERS AVENUE, SUITE 200-B, TAMPA, FL, 33615 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-05-21 |
| ANNUAL REPORT | 2019-03-21 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
