| Entity Name: | JUAN F. PRADO, D.D.S., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 08 Jan 2001 (24 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 13 Sep 2019 (5 years ago) |
| Document Number: | P01000003905 |
| FEI/EIN Number | 59-3691230 |
| Address: | 13301 N. DALE MABRY HWY., SUITE D, TAMPA, FL 33618 |
| Mail Address: | 11741 LIPSEY RD, TAMPA, FL 33618 |
| ZIP code: | 33618 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780083501 | 2014-08-18 | 2014-08-18 | 13301 N DALE MABRY HWY STE D, TAMPA, FL, 336182400, US | 13301 N DALE MABRY HWY STE D, TAMPA, FL, 336182400, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 813-968-1373 |
| Fax | 8139603560 |
Authorized person
| Name | DR. JUAN FRANCISCO PRADO |
| Role | OWNER |
| Phone | 8139681373 |
Taxonomy
| Taxonomy Code | 305R00000X - Preferred Provider Organization |
| License Number | DN20896 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PRADO, JUAN F | Agent | 13301 N. DALE MABRY HWY., SUITE D, TAMPA, FL 33618 |
| Name | Role | Address |
|---|---|---|
| PRADO, JUAN F | President | 13301 N. DALE MABRY HWY., TAMPA, FL 33618 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000090664 | PRADO DENTAL | EXPIRED | 2014-09-04 | 2019-12-31 | No data | 13301 N DALE MABRY HIGHWAY, SUITE D, TAMPA, FL, 33618 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2019-09-13 | No data | No data |
| AMENDMENT | 2017-11-15 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-04-11 | PRADO, JUAN F | No data |
| REINSTATEMENT | 2016-04-11 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REINSTATEMENT | 2010-10-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2005-06-29 | 13301 N. DALE MABRY HWY., SUITE D, TAMPA, FL 33618 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-04-12 | 13301 N. DALE MABRY HWY., SUITE D, TAMPA, FL 33618 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-04-12 | 13301 N. DALE MABRY HWY., SUITE D, TAMPA, FL 33618 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J14000327105 | TERMINATED | 1000000590718 | HILLSBOROU | 2014-03-06 | 2024-03-13 | $ 713.71 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-05-05 |
| ANNUAL REPORT | 2021-07-26 |
| ANNUAL REPORT | 2020-06-07 |
| Amendment | 2019-09-13 |
| ANNUAL REPORT | 2019-07-22 |
| ANNUAL REPORT | 2018-04-24 |
| Amendment | 2017-11-15 |
| ANNUAL REPORT | 2017-05-03 |
Date of last update: 31 Jan 2025
Sources: Florida Department of State
