Search icon

TAMPA PEDIATRIC DENTISTRY PA

Company Details

Entity Name: TAMPA PEDIATRIC DENTISTRY PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 23 Feb 2024 (a year ago)
Date of dissolution: 07 Dec 2024 (2 months ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 07 Dec 2024 (2 months ago)
Document Number: P24000014497
Address: 14037 N DALE MABRY HWY, TAMPA, FL, 33618, US
Mail Address: 694 S GRAND HWY, CLERMONT, FL, 34711, US
ZIP code: 33618
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679329429 2024-04-24 2024-04-24 14037 N DALE MABRY HWY, TAMPA, FL, 336182401, US 14037 N DALE MABRY HWY, TAMPA, FL, 336182401, US

Contacts

Phone +1 813-968-5743
Fax 8132644231

Authorized person

Name DR. IRIS HERNANDEZ
Role PVST
Phone 4074330796

Taxonomy

Taxonomy Code 1223P0221X - Pediatric Dentist
Is Primary Yes

Agent

Name Role Address
HERNANDEZ IRIS Agent 694 S GRAND HWY, CLERMONT, FL, 34711

President

Name Role Address
HERNANDEZ IRIS President 14037 N DALE MABRY HWY, TAMPA, FL, 33618

Vice President

Name Role Address
HERNANDEZ IRIS Vice President 14037 N DALE MABRY HWY, TAMPA, FL, 33618

Secretary

Name Role Address
HERNANDEZ IRIS Secretary 14037 N DALE MABRY HWY, TAMPA, FL, 33618

Treasurer

Name Role Address
HERNANDEZ IRIS Treasurer 14037 N DALE MABRY HWY, TAMPA, FL, 33618

Documents

Name Date
VOLUNTARY DISSOLUTION 2024-12-07
Domestic Profit 2024-02-23

Date of last update: 02 Feb 2025

Sources: Florida Department of State