| Entity Name: | PEDIATRIC DENTISTRY OF NEW TAMPA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PEDIATRIC DENTISTRY OF NEW TAMPA, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 25 Nov 2003 (21 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 14 Nov 2005 (19 years ago) |
| Document Number: | P03000139532 |
| FEI/EIN Number |
900135325
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5326 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647, US |
| Mail Address: | 5326 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647, US |
| ZIP code: | 33647 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891128773 | 2013-08-15 | 2013-08-15 | 5326 PRIMROSE LAKE CIR, TAMPA, FL, 336473589, US | 5326 PRIMROSE LAKE CIR, TAMPA, FL, 336473589, US | |||||||||||||||||||||||||||
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| Phone | +1 813-374-0388 |
| Fax | 8133740390 |
Authorized person
| Name | DR. MARTA MILAGROS RIVERA |
| Role | PRESIDENT/OWNER |
| Phone | 8133740388 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| License Number | DN14483 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| License Number | DN19520 |
| State | FL |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PDNT 401(K) PLAN | 2023 | 900135325 | 2024-07-29 | PEDIATRIC DENTISTRY OF NEW TAMPA, INC. | 12 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-29 |
| Name of individual signing | DANIEL CRICK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8133740388 |
| Plan sponsor’s address | 5326 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-27 |
| Name of individual signing | DANIEL CRICK |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-07-27 |
| Name of individual signing | DANIEL CRICK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8133740388 |
| Plan sponsor’s address | 5326 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-28 |
| Name of individual signing | DANIEL CRICK BO MARTA M RIVERA DMD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8133740388 |
| Plan sponsor’s address | 5326 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-06 |
| Name of individual signing | DANIEL CRICK BO MARTA M RIVERA DMD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8133740388 |
| Plan sponsor’s address | 5326 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647 |
Signature of
| Role | Plan administrator |
| Date | 2020-10-06 |
| Name of individual signing | DANIEL CRICK BO MARTA M RIVERA DMD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 8133740388 |
| Plan sponsor’s address | 5326 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| RIVERA MARTA M | President | 5326 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647 |
| RIVERA MARTA M | Secretary | 5326 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647 |
| RIVERA MARTA M | Treasurer | 5326 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647 |
| RIVERA MARTA M | Director | 5326 PRIMROSE LAKE CIRCLE, TAMPA, FL, 33647 |
| DANIEL CRICK, CPA, PLLC | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-31 | 107 N 11th Street #913, TAMPA, FL 33602 | - |
| REGISTERED AGENT NAME CHANGED | 2023-02-06 | Daniel Crick CPA PLLC | - |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-08 | 5326 PRIMROSE LAKE CIRCLE, TAMPA, FL 33647 | - |
| CHANGE OF MAILING ADDRESS | 2009-04-08 | 5326 PRIMROSE LAKE CIRCLE, TAMPA, FL 33647 | - |
| CANCEL ADM DISS/REV | 2005-11-14 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | - | - |
| AMENDMENT AND NAME CHANGE | 2004-05-03 | PEDIATRIC DENTISTRY OF NEW TAMPA, INC. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-09 |
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-02-06 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-02-10 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-01-30 |
| ANNUAL REPORT | 2018-01-26 |
| ANNUAL REPORT | 2017-02-07 |
| ANNUAL REPORT | 2016-01-14 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5101487109 | 2020-04-13 | 0455 | PPP | 5326 Primrose Lake Circle, TAMPA, FL, 33647-3589 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Mar 2025
Sources: Florida Department of State
