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LARGO DENTAL ONE PA - Florida Company Profile

Company Details

Entity Name: LARGO DENTAL ONE PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

LARGO DENTAL ONE PA 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: 27 Oct 2021 (3 years ago)
Document Number: P21000093259
FEI/EIN Number 87-3402648

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1475 BELCHER RD S, LARGO, FL, 33771, US
Mail Address: 1475 BELCHER RD S, LARGO, FL, 33771, US
ZIP code: 33771
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1851051536 2021-12-22 2021-12-22 1475 BELCHER RD S, LARGO, FL, 337715243, US 1475 BELCHER RD S, LARGO, FL, 337715243, US

Contacts

Phone +1 727-287-1555
Fax 7272900589

Authorized person

Name ANDREW CROUCH
Role VP
Phone 3218728820

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes
Taxonomy Code 1223P0300X - Periodontist
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LARGO DENTAL ONE PA 401(K) PLAN 2023 873402648 2024-05-28 LARGO DENTAL ONE PA 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 621210
Sponsor’s telephone number 7272871555
Plan sponsor’s address 1475 BELCHER ROAD S, LARGO, FL, 33771

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2024-05-28
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
SORELLE CECILIA M President 1475 BELCHER RD S, LARGO, FL, 33771
CROUCH ANDREW Vice President 1475 BELCHER RD S, LARGO, FL, 33771
CROUCH ANDREW Agent 1475 BELCHER RD S, LARGO, FL, 33771

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-04-24 1475 BELCHER RD S, LARGO, FL 33771 -
REGISTERED AGENT ADDRESS CHANGED 2024-04-24 1475 BELCHER RD S, LARGO, FL 33771 -

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-02-21
ANNUAL REPORT 2022-05-01
Domestic Profit 2021-10-27

Date of last update: 03 Mar 2025

Sources: Florida Department of State