| Entity Name: | COUNTYLINE DENTAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 11 May 2005 (20 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L05000046475 |
| FEI/EIN Number | 810671550 |
| Address: | 21457 NW 2ND AVE, MIAMI, FL, 33169 |
| Mail Address: | 21457 NW 2ND AVE, MIAMI, FL, 33169 |
| ZIP code: | 33169 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063620789 | 2007-05-18 | 2020-08-22 | 21457 NW 2ND AVE, MIAMI, FL, 331692120, US | 21457 NW 2ND AVE, MIAMI, FL, 331692120, US | |||||||||||||||||||
|
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| Phone | +1 305-654-1234 |
| Fax | 4843480322 |
Authorized person
| Name | DR. IGOR PASISNITCHENKO |
| Role | MEMBER |
| Phone | 3056541234 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN15470 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ARON ROBERT S | Agent | 21457 NW 2ND AVE, MIAMI, FL, 33169 |
| Name | Role | Address |
|---|---|---|
| ARON ROBERT S | Managing Member | 21457 NW 2ND AVE, MIAMI, FL, 33169 |
| Name | Role | Address |
|---|---|---|
| RUBIN JONATHAN | Treasurer | 21457 NW 2ND AVE, MIAMI, FL, 33169 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000132207 | VALUE DENTAL | EXPIRED | 2017-12-04 | 2022-12-31 | No data | 400 STATE ROAD 436, CASSELBERRY, FL, 32707 |
| G10000080801 | THE DENTAL CLUB | EXPIRED | 2010-09-01 | 2015-12-31 | No data | 4300 UNIVERSITY DRIVE, SUNRISE, FL, 33351 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REINSTATEMENT | 2019-04-30 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-30 | ARON, ROBERT S | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-03-04 | 21457 NW 2ND AVE, MIAMI, FL 33169 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2019-04-30 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-05-01 |
| ANNUAL REPORT | 2014-08-31 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-04-20 |
| ANNUAL REPORT | 2011-04-04 |
| ANNUAL REPORT | 2010-04-19 |
| ANNUAL REPORT | 2009-04-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
