| Entity Name: | KELLEY L. BORDERS, D.M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 02 May 2005 (20 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | P05000064590 |
| FEI/EIN Number | 202884367 |
| Address: | 1708 SOUTH ALEXANDER STREET, PLANT CITY, FL, 33563, US |
| Mail Address: | 16682 NW 166th Road, Alachua, FL, 32615, US |
| ZIP code: | 33563 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568878387 | 2014-07-02 | 2014-07-02 | 1708 S ALEXANDER ST, SUITE A, PLANT CITY, FL, 335638411, US | 1708 S ALEXANDER ST, SUITE A, PLANT CITY, FL, 335638411, US | |||||||||||||||||
|
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| Phone | +1 813-752-5600 |
Authorized person
| Name | DR. KELLEY LYNN BORDERS |
| Role | PRESIDENT DENTIST |
| Phone | 8133343798 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN16284 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LANSKY GLEN R | Agent | LANSKY & COURTNEY, P.A., BRANDON, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| BORDERS KELLEY L | Director | 1708 SOUTH ALEXANDER STREET, PLANT CITY, FL, 33563 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-05 | 1708 SOUTH ALEXANDER STREET, PLANT CITY, FL 33563 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-02-04 | 1708 SOUTH ALEXANDER STREET, PLANT CITY, FL 33563 | No data |
| AMENDMENT | 2006-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-02-05 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-02-22 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-02-19 |
| ANNUAL REPORT | 2018-02-03 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-01-18 |
| ANNUAL REPORT | 2015-02-04 |
| ANNUAL REPORT | 2014-02-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
