| Entity Name: | ATM AMIN DDS PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 11 Aug 2010 (15 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L10000084194 |
| FEI/EIN Number | 273369565 |
| Address: | 1890 Palm Bay Rd, PALM BAY, FL, 32905, US |
| Mail Address: | 3906 snowy egret dr., Melbourne, FL, 32904, US |
| ZIP code: | 32905 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265704548 | 2012-02-02 | 2012-02-02 | 4620 LIPSCOMB ST NE, SUITE 2, PALM BAY, FL, 32905, US | 4620 LIPSCOMB ST NE, SUITE 2, PALM BAY, FL, 32905, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 321-724-5100 |
| Fax | 3217245139 |
Authorized person
| Name | ATM NURUL AMIN |
| Role | OWNER |
| Phone | 3217245100 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | 10430 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 077777300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AMIN ATM | Agent | 3906 SNOWY EGRET DRIVE, WEST MELBOURNE, FL, 32904 |
| Name | Role | Address |
|---|---|---|
| AMIN ATM NDr. | owne | 1890 Palm Bay Rd, PALM BAY, FL, 32905 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000012755 | A+ DENTAL CARE | EXPIRED | 2013-02-05 | 2018-12-31 | No data | 1890 PALM BAY RD NE, PALM BAY, FL, 32905 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-09 | 1890 Palm Bay Rd, #2, PALM BAY, FL 32905 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-11 | 3906 SNOWY EGRET DRIVE, WEST MELBOURNE, FL 32904 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-06 | 1890 Palm Bay Rd, #2, PALM BAY, FL 32905 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-02-13 |
| ANNUAL REPORT | 2017-02-12 |
| ANNUAL REPORT | 2016-04-03 |
| ANNUAL REPORT | 2015-01-11 |
| ANNUAL REPORT | 2014-02-28 |
| ANNUAL REPORT | 2013-04-06 |
| ANNUAL REPORT | 2012-04-10 |
| ANNUAL REPORT | 2011-04-01 |
| Florida Limited Liability | 2010-08-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
