| Entity Name: | BEACH DENTAL SPECIALIST LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 15 Sep 2010 (14 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: | L10000096775 |
| FEI/EIN Number | 273478870 |
| Address: | 4011 WEST FLAGLER STREET, MIAMI, FL, 33134, US |
| Mail Address: | 4011 WEST FLAGLER STREET, MIAMI, FL, 33134, US |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477894079 | 2013-03-06 | 2013-03-06 | 4011 W FLAGLER ST., 505, MIAMI, FL, 33134, US | 4011 W FLAGLER ST., 505, MIAMI, FL, 33134, US | |||||||||||||||||||||||||||
|
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| Phone | +1 305-424-2705 |
| Fax | 3056430447 |
Authorized person
| Name | EDY AUGUSTO GUERRA |
| Role | PRESIDENT |
| Phone | 3054242705 |
Taxonomy
| Taxonomy Code | 1223E0200X - Endodontist |
| License Number | DN18777 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 1223P0300X - Periodontist |
| License Number | DN18253 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GUERRA EDY A | Agent | 4011 WEST FLAGLER STREET, MIAMI, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| GUERRA EDY A | Managing Member | 4011 WEST FLAGLER STREET, MIAMI, FL, 33134 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-03-06 | 4011 WEST FLAGLER STREET, 505, MIAMI, FL 33134 | No data |
| CHANGE OF MAILING ADDRESS | 2019-03-06 | 4011 WEST FLAGLER STREET, 505, MIAMI, FL 33134 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-29 | 4011 WEST FLAGLER STREET, 506, MIAMI, FL 33134 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-03-06 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-04-12 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-01-09 |
| ANNUAL REPORT | 2013-01-30 |
| ANNUAL REPORT | 2012-01-09 |
| ANNUAL REPORT | 2011-04-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
