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VALUE PLUS DENTAL CENTER OF TAMPA, P.A.

Company Details

Entity Name: VALUE PLUS DENTAL CENTER OF TAMPA, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 23 May 1996 (29 years ago)
Document Number: P96000045722
FEI/EIN Number 650667798
Mail Address: 6240 LAKE OSPREY DR., SARASOTA, FL, 34240
Address: 3904 - H.W. HILLSBOROUGH AVE., Suite 8, TAMPA, FL, 33614, US
ZIP code: 33614
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215069695 2007-03-12 2020-08-22 3904 W HILLSBOROUGH AVE, TAMPA, FL, 336145653, US 3904 W HILLSBOROUGH AVE, TAMPA, FL, 336145653, US

Contacts

Phone +1 813-871-2804

Authorized person

Name MIKE COLE
Role INSURANCE DIRECTOR
Phone 7277261611

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes

Agent

Name Role
C T CORPORATION SYSTEM Agent

Director

Name Role Address
CORONA DENNIS Director 6240 LAKE OSPREY DR., SARASOTA, FL, 34240

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000022646 ADVANCED DENTAL CARE ACTIVE 2015-03-03 2025-12-31 No data 6240 LAKE OSPREY DR, SARASOTA, FL, 34240

Date of last update: 01 Jan 2025

Sources: Florida Department of State