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 |
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 | |||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
HERNANDEZ IRIS | Agent | 694 S GRAND HWY, CLERMONT, FL, 34711 |
Name | Role | Address |
---|---|---|
HERNANDEZ IRIS | President | 14037 N DALE MABRY HWY, TAMPA, FL, 33618 |
Name | Role | Address |
---|---|---|
HERNANDEZ IRIS | Vice President | 14037 N DALE MABRY HWY, TAMPA, FL, 33618 |
Name | Role | Address |
---|---|---|
HERNANDEZ IRIS | Secretary | 14037 N DALE MABRY HWY, TAMPA, FL, 33618 |
Name | Role | Address |
---|---|---|
HERNANDEZ IRIS | Treasurer | 14037 N DALE MABRY HWY, TAMPA, FL, 33618 |
Name | Date |
---|---|
VOLUNTARY DISSOLUTION | 2024-12-07 |
Domestic Profit | 2024-02-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State