| Entity Name: | SOUTHERN DENTAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 17 Feb 2006 (19 years ago) |
| Date of dissolution: | 08 Sep 2011 (13 years ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 08 Sep 2011 (13 years ago) |
| Document Number: | L06000019523 |
| FEI/EIN Number | 204368491 |
| Address: | 2560 MAGUIRE RD, OCOEE, FL, 34761 |
| Mail Address: | 2560 MAGUIRE RD, OCOEE, FL, 34761 |
| ZIP code: | 34761 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710004171 | 2007-03-23 | 2020-08-22 | 2560 MAGUIRE RD, OCOEE, FL, 347614749, US | 2560 MAGUIRE RD, OCOEE, FL, 347614749, US | |||||||||||||||||
|
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| Phone | +1 407-656-5700 |
Authorized person
| Name | CARY FREEMAN |
| Role | INSURANCE COUNSLER |
| Phone | 4076565700 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN12260 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ASMA WILLIAM N | Agent | 884 S. DILLARD STREET, WINTER GARDEN, FL, 34787 |
| Name | Role | Address |
|---|---|---|
| AVRIETT ALAN | Manager | 86 PINE STREET, WINDERMERE, FL, 34786 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2011-09-08 | No data | CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS P00000017520. MERGER NUMBER 500000116275 |
| CHANGE OF MAILING ADDRESS | 2008-03-31 | 2560 MAGUIRE RD, OCOEE, FL 34761 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-04-25 | 2560 MAGUIRE RD, OCOEE, FL 34761 | No data |
| LC AMENDMENT | 2006-03-01 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-29 |
| ANNUAL REPORT | 2010-05-01 |
| ANNUAL REPORT | 2009-05-13 |
| ANNUAL REPORT | 2008-03-31 |
| ANNUAL REPORT | 2007-04-25 |
| LC Amendment | 2006-03-01 |
| Florida Limited Liability | 2006-02-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
