| Entity Name: | WESTCHASE DENTAL ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
WESTCHASE DENTAL ASSOCIATES, P.A. 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: | 22 Aug 1997 (28 years ago) |
| Document Number: | P97000073075 |
| FEI/EIN Number |
593473002
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 11369 COUNTRYWAY BLVD, TAMPA, FL, 33626 |
| Mail Address: | 11369 COUNTRYWAY BLVD, TAMPA, FL, 33626 |
| ZIP code: | 33626 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831258847 | 2006-12-06 | 2008-08-14 | 11369 COUNTRYWAY BLVD, TAMPA, FL, 336262610, US | 11369 COUNTRYWAY BLVD, TAMPA, FL, 336262610, US | |||||||||||||||||||||||||||||||
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| Phone | +1 813-818-0600 |
| Fax | 8138188405 |
Authorized person
| Name | DR. CAROL A. KIRKWOOD |
| Role | OWNER |
| Phone | 8138180600 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN014190 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 64906 |
| State | FL |
| Issuer | UNITED CONCORDIA |
| Number | 871628 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WESTCHASE DENTAL ASSOCIATES, PA CASH BALANCE PLAN | 2023 | 593473002 | 2024-06-19 | WESTCHASE DENTAL ASSOCIATES, P.A. | 4 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-06-19 |
| Name of individual signing | CAROL KIRKWOOD GAMBLE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| KIRKWOOD CAROL | Dr | 11369 COUNTRYWAY BLVD, TAMPA, FL, 33626 |
| KIRKWOOD CAROL | Agent | 11369 COUNTRYWAY BLVD, TAMPA, FL, 33626 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2010-06-18 | 11369 COUNTRYWAY BLVD, TAMPA, FL 33626 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2005-02-24 | 11369 COUNTRYWAY BLVD, TAMPA, FL 33626 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2005-02-24 | 11369 COUNTRYWAY BLVD, TAMPA, FL 33626 | - |
| REGISTERED AGENT NAME CHANGED | 2001-05-10 | KIRKWOOD, CAROL | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-02 |
| ANNUAL REPORT | 2024-01-11 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-03 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-01-06 |
| ANNUAL REPORT | 2019-01-02 |
| ANNUAL REPORT | 2018-01-02 |
| ANNUAL REPORT | 2017-02-16 |
| ANNUAL REPORT | 2016-03-02 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7716507206 | 2020-04-28 | 0455 | PPP | 11369 COUNTRYWAY BLVD, TAMPA, FL, 33626-2610 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Mar 2025
Sources: Florida Department of State
