| Entity Name: | LIBERTY DENTAL PLAN OF FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 16 Sep 2009 (15 years ago) |
| Document Number: | P09000077452 |
| FEI/EIN Number | 27-0963551 |
| Address: | 3109 W Dr Martin Luther King Jr Boulevard, Suite 100, Tampa, FL 33607 |
| Mail Address: | 3109 W Dr Martin Luther King Jr Boulevard, Suite 100, Tampa, FL 33607 |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588142053 | 2018-08-06 | 2018-08-06 | 340 COMMERCE STE 100, IRVINE, CA, 926021358, US | 7870 WOODLAND CENTER BLVD, TAMPA, FL, 336142409, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 888-703-6999 |
Authorized person
| Name | PAUL REITER |
| Role | CORPORATE COMPLIANCE SPECIALIST |
| Phone | 8887036999 |
Taxonomy
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Choate, Thomas | Chief Executive Officer | 3109 W Dr Martin Luther King Jr Boulevard, Suite 100 Tampa, FL 33607 |
| Name | Role | Address |
|---|---|---|
| Yu, Jianhua | Treasurer | 3109 W Dr Martin Luther King Jr Boulevard, Suite 100 Tampa, FL 33607 |
| Name | Role | Address |
|---|---|---|
| Yu, Jianhua | Chief Financial Officer | 3109 W Dr Martin Luther King Jr Boulevard, Suite 100 Tampa, FL 33607 |
| Name | Role | Address |
|---|---|---|
| Sohn, Steve | Secretary | 3109 W Dr Martin Luther King Jr Boulevard, Suite 100 Tampa, FL 33607 |
| Name | Role | Address |
|---|---|---|
| Sohn, Steve | Vice President | 3109 W Dr Martin Luther King Jr Boulevard, Suite 100 Tampa, FL 33607 |
| Karabeg, Maja | Vice President | 3109 W Dr Martin Luther King Jr Boulevard, Suite 100 Tampa, FL 33607 |
| Name | Role | Address |
|---|---|---|
| Choate, Thomas | President | 3109 W Dr Martin Luther King Jr Boulevard, Suite 100 Tampa, FL 33607 |
| Name | Role | Address |
|---|---|---|
| Sohn, Steve | Director | 3109 W Dr Martin Luther King Jr Boulevard, Suite 100 Tampa, FL 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-18 | 3109 W Dr Martin Luther King Jr Boulevard, Suite 100, Tampa, FL 33607 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-18 | 3109 W Dr Martin Luther King Jr Boulevard, Suite 100, Tampa, FL 33607 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-03-13 | C T CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-13 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| Reg. Agent Change | 2024-03-13 |
| AMENDED ANNUAL REPORT | 2023-09-05 |
| ANNUAL REPORT | 2023-03-30 |
| ANNUAL REPORT | 2022-04-18 |
| AMENDED ANNUAL REPORT | 2021-06-28 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-04-28 |
| AMENDED ANNUAL REPORT | 2019-11-21 |
| ANNUAL REPORT | 2019-01-31 |
Date of last update: 24 Feb 2025
Sources: Florida Department of State
