| Entity Name: | LEGACY DENTAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 25 May 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: | L10000056291 |
| FEI/EIN Number | 272677844 |
| Address: | 2100 PINEHURST DR, WEST PALM BEACH, FL, 33407, US |
| Mail Address: | 2100 PINEHURST DR, WEST PALM BEACH, FL, 33407, US |
| ZIP code: | 33407 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861796229 | 2010-12-28 | 2010-12-28 | 4993 W ATLANTIC AVE, DELRAY BEACH, FL, 334453850, US | 4993 W ATLANTIC AVE, DELRAY BEACH, FL, 334453850, US | |||||||||||||||||
|
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| Phone | +1 561-381-3100 |
| Fax | 5613813323 |
Authorized person
| Name | MR. CHRIS WITTUSEN |
| Role | DIRECTOR |
| Phone | 5613813100 |
Taxonomy
| Taxonomy Code | 305R00000X - Preferred Provider Organization |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| HEALTH CURVE, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| WITTUSEN CHRIS | Managing Member | 2100 PINEHURST DR, WEST PALM BEACH, FL, 33407 |
| URBINO RAFAEL | Managing Member | 960 ARTHUR GODFREY RD 214, MIAMI BEACH, FL, 33140 |
| FLORIDA DENTAL MANAGEMENT SERVICES, LLC | Managing Member | No data |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| LC AMENDMENT | 2011-09-23 | No data | No data |
| LC AMENDMENT | 2010-08-26 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13001281758 | TERMINATED | 1000000519803 | PALM BEACH | 2013-08-05 | 2033-08-16 | $ 300.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105 |
| J13000850066 | TERMINATED | 1000000438182 | PALM BEACH | 2013-04-10 | 2033-05-03 | $ 660.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105 |
| Name | Date |
|---|---|
| LC Amendment | 2011-09-23 |
| ANNUAL REPORT | 2011-02-28 |
| LC Amendment | 2010-08-26 |
| CORLCMMRES | 2010-08-09 |
| Florida Limited Liability | 2010-05-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
