Detail by Officer/Registered Agent Name

Florida Limited Liability Company

FLORIDA DENTAL IMPLANTS & ORAL SURGERY, LLC

Filing Information
L02000030368 32-0041791 11/13/2002 FL ACTIVE LC STMNT OF RA/RO CHG 05/30/2018 NONE
Principal Address
2150 HARDEN BLVD
LAKELAND, FL 33803

Changed: 02/13/2003
Mailing Address
2150 HARDEN BLVD
LAKELAND, FL 33803

Changed: 02/13/2003
Registered Agent Name & Address KIRKPATRICK, DAVID
2150 HARDEN BLVD.
LAKELAND, FL 33803

Name Changed: 05/30/2018

Address Changed: 02/13/2003
Authorized Person(s) Detail Name & Address

Title MGRM

RICHARDS, HARLEY M
1400 EASTON DR.
LAKELAND, FL 33803

Title MGR

FOSTER, BRUCE A
538 ISLEBAY DR.
APOLLO BEACH, FL 33572

Title MGRM

KIRKPATRICK, DAVID R
2150 HARDEN BLVD
LAKELAND, FL 33803

Title CIO

Genz, Jason
2150 HARDEN BLVD
LAKELAND, FL 33803

Annual Reports
Report YearFiled Date
2021 01/28/2021
2022 01/24/2022
2023 02/01/2023