| Entity Name: | SUPREME CARE DENTAL ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 23 Apr 2010 (15 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | L10000043563 |
| FEI/EIN Number | 27-2525115 |
| Address: | 7138 S. MILITARY TRAIL, LAKE WORTH, FL 33463 |
| Mail Address: | 7138 S. MILITARY TRAIL, LAKE WORTH, FL 33463 |
| ZIP code: | 33463 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952687824 | 2011-10-24 | 2012-03-28 | 7138 S MILITARY TRL, LAKE WORTH, FL, 334637812, US | 7138 S MILITARY TRL, LAKE WORTH, FL, 334637812, US | |||||||||||||||||||
|
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| Phone | +1 561-296-5557 |
| Fax | 5612962557 |
Authorized person
| Name | MISS JANE WOMELSDORFF |
| Role | OFFICE MANAGER |
| Phone | 5612965557 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN14459 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LEIBOVICI, JACOB | Agent | 7138 S. MILITARY TRAIL, LAKE WORTH, FL 33463 |
| Name | Role |
|---|---|
| SUPREME CARE DENTAL CORP | Managing Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| LC NAME CHANGE | 2010-04-30 | SUPREME CARE DENTAL ASSOCIATES, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-30 |
| LC Name Change | 2010-04-30 |
| Florida Limited Liability | 2010-04-23 |
| CORLCMMRES | 2010-04-23 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
