| Entity Name: | THE DENTAL SPECIALISTS OF CENTRAL FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 05 Dec 1986 (38 years ago) |
| Document Number: | J45607 |
| FEI/EIN Number | 592757551 |
| Mail Address: | 500 N ORLANDO AVENUE, #1303, WINTER PARK, FL, 32789, US |
| Address: | 500 N. ORLANDO AVE., STE. 1303, WINTER PARK, FL, 32789, US |
| ZIP code: | 32789 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336459064 | 2010-10-15 | 2010-10-15 | 455 MAGNOLIA AVE, MERRITT ISLAND, FL, 329524838, US | 455 MAGNOLIA AVE, MERRITT ISLAND, FL, 329524838, US | |||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||
| Phone | +1 321-453-7750 |
| Fax | 3214534966 |
Authorized person
| Name | MR. JONATHAN OUELLETTE |
| Role | OWNER |
| Phone | 3214537750 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN19187 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN19069 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 124Q00000X - Dental Hygienist |
| License Number | DH17841 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| OUELLETT, PAUL L. | Agent | 500 N. ORLANDO AVE., WINTE PARK, FL, 32789 |
| Name | Role | Address |
|---|---|---|
| OUELLETTE, PAUL L. | President | 500 N. ORLANDO AVE., WINTER PARK, FL, 32789 |
| Name | Role | Address |
|---|---|---|
| OUELLETTE, PAUL L. | Director | 500 N. ORLANDO AVE., WINTER PARK, FL, 32789 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1998-10-16 | No data | No data |
| CORPORATE MERGER | 1992-12-31 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 3. CORPORATE MERGER NUMBER 900000000469 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
