| Entity Name: | PALM BEACH GARDENS DENTAL ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 26 Dec 2006 (18 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L06000122234 |
| FEI/EIN Number | 743199271 |
| Address: | 4362 NORTHLAKE BLVD., STE. 114, PALM BEACH GARDENS, FL, 33410 |
| Mail Address: | 4362 NORTHLAKE BLVD., STE. 114, PALM BEACH GARDENS, FL, 33410 |
| ZIP code: | 33410 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730226390 | 2007-01-31 | 2020-08-22 | 8106 DAMASCUS DR, PALM BEACH GARDENS, FL, 334186006, US | 4362 NORTHLAKE BLVD, STE 114 BLDG 2, PALM BEACH GARDENS, FL, 334106275, US | |||||||||||||||||||
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| Phone | +1 561-622-9290 |
| Phone | +1 561-626-3424 |
Authorized person
| Name | MISS SUSAN BENNETT |
| Role | OFFICE MGR |
| Phone | 5616263424 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN6220 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MAIWURM RAY | Agent | 8106 DAMASCUS DR, PALM BEACH GARDENS, FL, 33418 |
| Name | Role | Address |
|---|---|---|
| MAIWURM RAY | President | 4362 NORTHLAKE BLVD #114, PALM BEACH GARDENS, FL, 33410 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2008-02-18 | MAIWURM, RAY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-02-18 | 8106 DAMASCUS DR, PALM BEACH GARDENS, FL 33418 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-01-21 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-15 |
| ANNUAL REPORT | 2015-01-09 |
| ANNUAL REPORT | 2014-03-06 |
| ANNUAL REPORT | 2013-03-17 |
| ANNUAL REPORT | 2012-01-09 |
| ANNUAL REPORT | 2011-01-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
