| Entity Name: | JSK FAMILY DENTAL, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Profit Corporation
JSK FAMILY DENTAL, P.A. is structured as a Profit Corporation, also known as a C-Corporation, a business structure recognized as a separate legal entity from its owners. This structure offers the benefit of potential tax advantages and ease of raising capital through the issuance of stock. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 21 Apr 2016 (9 years ago) |
| Date of dissolution: | 21 Jan 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 21 Jan 2020 (5 years ago) |
| Document Number: | P16000035635 |
| FEI/EIN Number |
81-2375083
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 16069 BELLA WOODS DRIVE, TAMPA, FL 33647 |
| Mail Address: | 16069 BELLA WOODS DRIVE, TAMPA, FL 33647 |
| ZIP code: | 33647 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952756447 | 2016-05-03 | 2016-05-03 | PO BOX 3189, SYRACUSE, NY, 132203189, US | 7715 GALL BLVD, ZEPHYRHILLS, FL, 335414315, US | |||||||||||||||||||||||
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| Phone | +1 315-454-6000 |
| Fax | 3154105531 |
| Phone | +1 813-782-4200 |
| Fax | 8137828523 |
Authorized person
| Name | KIM VAN CAMP |
| Role | PROVIDER RELATIONS SPECIALIST |
| Phone | 3154546000 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN19816 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Das, Shilpa M, Dr. | Agent | 16069 BELLA WOODS DRIVE, TAMPA, FL 33647 |
| Das, Shilpa M, Dr. | President | 16069 BELLA WOODS DRIVE, TAMPA, FL 33647 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000061593 | ASPEN DENTAL | EXPIRED | 2016-06-22 | 2021-12-31 | - | 281 SANDERS CREEK PARKWAY, EAST SYRACUSE, NY, 13057 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-01-21 | - | - |
| REGISTERED AGENT NAME CHANGED | 2019-02-10 | Das, Shilpa M, Dr. | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-10 | 16069 BELLA WOODS DRIVE, TAMPA, FL 33647 | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-01-21 |
| ANNUAL REPORT | 2019-02-10 |
| ANNUAL REPORT | 2018-02-10 |
| ANNUAL REPORT | 2017-03-02 |
| Domestic Profit | 2016-04-21 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State
