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ABF DENTAL, PL

Company Details

Entity Name: ABF DENTAL, PL
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 15 Apr 2009 (16 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 29 Oct 2010 (14 years ago)
Document Number: L09000036728
FEI/EIN Number 26-4712594
Address: 942 SAXON BLVD., ORANGE CITY, FL 32763
Mail Address: 942 SAXON BLVD., ORANGE CITY, FL 32763
ZIP code: 32763
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003560863 2022-02-09 2022-02-09 942 SAXON BLVD, ORANGE CITY, FL, 327638358, US 942 SAXON BLVD, ORANGE CITY, FL, 327638358, US

Contacts

Phone +1 386-774-0125
Fax 3869607870

Authorized person

Name ANDREW YOON
Role OWNER
Phone 3867740125

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes
Taxonomy Code 332BC3200X - Customized Equipment (DME)
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ABF DENTAL, PL 401(K) PLAN 2023 264712594 2024-06-17 ABF DENTAL, PL 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2023-06-15
Business code 621210
Sponsor’s telephone number 3868468869
Plan sponsor’s address 942 SAXON BLVD, STE B, ORANGE CITY, FL, 32763

Signature of

Role Plan administrator
Date 2024-06-17
Name of individual signing MELISSA YOON
Valid signature Filed with authorized/valid electronic signature
CAPE VISTA DENTAL 401(K) PLAN 2022 264712594 2023-07-17 ABF DENTAL, PL 15
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 339110
Sponsor’s telephone number 3867740125
Plan sponsor’s address 942 SAXON, ORANGE CITY, FL, 32763

Signature of

Role Plan administrator
Date 2023-07-17
Name of individual signing CHRIS HORNE
Valid signature Filed with authorized/valid electronic signature
CAPE VISTA DENTAL 401(K) PLAN 2022 264712594 2024-05-01 ABF DENTAL, PL 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 339110
Sponsor’s telephone number 3867740125
Plan sponsor’s address 942 SAXON, ORANGE CITY, FL, 32763

Signature of

Role Plan administrator
Date 2024-05-01
Name of individual signing CHRIS HORNE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
YOON, ANDREW Agent 942 SAXON BLVD., ORANGE CITY, FL 32763

Manager

Name Role Address
YOON, ANDREW Manager 942 SAXON BLVD, ORANGE CITY, FL 32763

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000111706 CAPE VISTA DENTAL ACTIVE 2012-11-08 2027-12-31 No data 942 SAXON BLVD, ORANGE CITY, FL, 32763

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2011-01-27 942 SAXON BLVD., ORANGE CITY, FL 32763 No data
CHANGE OF MAILING ADDRESS 2011-01-27 942 SAXON BLVD., ORANGE CITY, FL 32763 No data
REGISTERED AGENT ADDRESS CHANGED 2011-01-27 942 SAXON BLVD., ORANGE CITY, FL 32763 No data
LC AMENDMENT 2010-10-29 No data No data
REGISTERED AGENT NAME CHANGED 2010-10-29 YOON, ANDREW No data

Documents

Name Date
ANNUAL REPORT 2024-03-22
ANNUAL REPORT 2023-03-03
ANNUAL REPORT 2022-03-02
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-02-12
ANNUAL REPORT 2019-02-06
ANNUAL REPORT 2018-02-13
ANNUAL REPORT 2017-01-23
ANNUAL REPORT 2016-02-23
ANNUAL REPORT 2015-01-07

Date of last update: 25 Jan 2025

Sources: Florida Department of State