| Entity Name: | OBT DENTAL SPA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Aug 2006 (18 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 19 Mar 2008 (17 years ago) |
| Document Number: | L06000080690 |
| FEI/EIN Number | 900359111 |
| Address: | 9753 S. ORANGE BLOSSOM TRAIL, SUITE 10, ORLANDO, FL, 32837 |
| Mail Address: | 9753 S.ORANGE BLOSSOM TRAIL, SUITE 10, ORLANDO, FL, 32837 |
| ZIP code: | 32837 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538399324 | 2009-07-15 | 2009-07-15 | 9753 S ORANGE BLOSSOM TRL STE 105, ORLANDO, FL, 328378998, US | 9753 S ORANGE BLOSSOM TRL STE 105, ORLANDO, FL, 328378998, US | |||||||||||||||||||
|
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| Phone | +1 407-857-8585 |
| Fax | 4078578448 |
Authorized person
| Name | RODOLFO OLMOS |
| Role | GENERAL DENTIST |
| Phone | 4078578585 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN16586 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| OLMOS RODOLFO D | Agent | 9753 S ORANGE BLOSSOM, ORLANDO, FL, 32837 |
| Name | Role | Address |
|---|---|---|
| OLMOS RODOLFO Dr. | Managing Member | 9753 S. ORANGE BLOSSOM TRAIL STE 10, ORLANDO, FL, 32837 |
| Name | Role | Address |
|---|---|---|
| SEGURA LINA | Manager | 9753 S. ORANGE BLOSSOM TRAIL, ORLANDO, FL, 32837 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2011-04-21 | 9753 S ORANGE BLOSSOM, SUITE 10, ORLANDO, FL 32837 | No data |
| CANCEL ADM DISS/REV | 2008-03-19 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-03-19 | 9753 S. ORANGE BLOSSOM TRAIL, SUITE 10, ORLANDO, FL 32837 | No data |
| CHANGE OF MAILING ADDRESS | 2008-03-19 | 9753 S. ORANGE BLOSSOM TRAIL, SUITE 10, ORLANDO, FL 32837 | No data |
| REGISTERED AGENT NAME CHANGED | 2008-03-19 | OLMOS, RODOLFO DR | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-06-18 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-02-20 |
| ANNUAL REPORT | 2017-04-04 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
