| Entity Name: | PALM BEACH MALL DENTAL GROUP, PL |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 02 Jun 2003 (22 years ago) |
| Date of dissolution: | 14 Sep 2007 (17 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 14 Sep 2007 (17 years ago) |
| Document Number: | L03000019747 |
| FEI/EIN Number | 050571773 |
| Address: | 1801 PALM BEACH LAKES BLVD.K #852, WEST PALM BEACH, FL, 33401 |
| Mail Address: | 1801 PALM BEACH LAKES BLVD.K #852, WEST PALM BEACH, FL, 33401 |
| ZIP code: | 33401 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497845440 | 2006-10-13 | 2020-08-22 | 1801 PALM BEACH LAKES BLVD, #852, WEST PALM BEACH, FL, 334012020, US | 1801 PALM BEACH LAKES BLVD, #852, WEST PALM BEACH, FL, 334012020, US | |||||||||||||||||||
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| Phone | +1 561-683-6247 |
| Fax | 5616836248 |
Authorized person
| Name | DR. PAMELA LORETTA NIELSEN |
| Role | OWNER |
| Phone | 5616836247 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN0013591 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GOLD STUART M | Agent | 8180 NW 36TH ST., STE. 100, MIAMI, FL, 33166 |
| Name | Role | Address |
|---|---|---|
| NIELSEN PAMELA L | Managing Member | 7755 SW 87 AVE #110, MIAMI, FL, 33173 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2006-08-02 |
| ANNUAL REPORT | 2005-05-31 |
| ANNUAL REPORT | 2004-08-23 |
| Florida Limited Liabilites | 2003-06-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
