| Entity Name: | TAMPA BAY DENTAL SLEEP EXCELLENCE PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 14 Apr 2016 (9 years ago) |
| Document Number: | P16000034115 |
| FEI/EIN Number | 81-2481951 |
| Address: | 4307 WEST JETTON AVE, TAMPA, FL 33629 |
| Mail Address: | 4307 WEST JETTON AVE, TAMPA, FL 33629 |
| ZIP code: | 33629 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265888606 | 2016-05-04 | 2016-05-04 | 4307 W JETTON AVE, TAMPA, FL, 336294904, US | 5486 LITHIA PINECREST RD, LITHIA, FL, 335472853, US | |||||||||||||||||||||||
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| Phone | +1 813-374-0270 |
| Fax | 8133740272 |
| Phone | +1 813-571-5555 |
| Fax | 8135715559 |
Authorized person
| Name | DR. RICHARD M KERNAGIS |
| Role | PRESIDENT |
| Phone | 8133740270 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN15191 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KERNAGIS, RICHARD M | Agent | 4307 WEST JETTON AVE, TAMPA, FL 33629 |
| Name | Role | Address |
|---|---|---|
| KERNAGIS, RICHARD M | President | 4307 WEST JETTON AVE, TAMPA, FL 33629 |
| Name | Role | Address |
|---|---|---|
| KERNAGIS, JENNIFER W | Vice President | 4307 WEST JETTON AVE, TAMPA, FL 33629 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-28 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-06-21 |
| ANNUAL REPORT | 2021-04-02 |
| ANNUAL REPORT | 2020-03-26 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-22 |
| ANNUAL REPORT | 2017-04-26 |
| Domestic Profit | 2016-04-14 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
