Entity Name: | BL DENTAL ASSOCIATES LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 12 Nov 2010 (14 years ago) |
Document Number: | L10000117569 |
FEI/EIN Number | 273944632 |
Address: | 3190 PONCE DE LEON BLVD, CORAL GABLES, FL, 33134, US |
Mail Address: | 3190 PONCE DE LEON BLVD, CORAL GABLES, FL, 33134, US |
ZIP code: | 33134 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1326341124 | 2010-12-16 | 2010-12-16 | 5863 N UNIVERSITY DR, TAMARAC, FL, 333214617, US | 2600 W FLAGLER ST, MIAMI, FL, 331351425, US | |||||||||||||||||||
|
Phone | +1 954-720-2444 |
Phone | +1 305-962-4446 |
Authorized person
Name | DR. ARMANDO BLARDONIS |
Role | PRESIDENT |
Phone | 3059624446 |
Taxonomy
Taxonomy Code | 305R00000X - Preferred Provider Organization |
License Number | DN12868 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
SERRANO RALPH | Agent | 9425 SW 72 ST, MIAMI, FL, 33173 |
Name | Role | Address |
---|---|---|
LOPEZ MANUEL | Managing Member | 3190 PONCE DE LEON BLVD, CORAL GABLES, FL, 33134 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2019-04-29 | 3190 PONCE DE LEON BLVD, CORAL GABLES, FL 33134 | No data |
CHANGE OF MAILING ADDRESS | 2019-04-29 | 3190 PONCE DE LEON BLVD, CORAL GABLES, FL 33134 | No data |
REGISTERED AGENT NAME CHANGED | 2018-02-16 | SERRANO, RALPH | No data |
REGISTERED AGENT ADDRESS CHANGED | 2018-02-16 | 9425 SW 72 ST, SUITE 233, MIAMI, FL 33173 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-30 |
ANNUAL REPORT | 2023-04-27 |
ANNUAL REPORT | 2022-04-30 |
ANNUAL REPORT | 2021-04-27 |
ANNUAL REPORT | 2020-06-29 |
ANNUAL REPORT | 2019-04-29 |
ANNUAL REPORT | 2018-02-16 |
ANNUAL REPORT | 2017-02-27 |
ANNUAL REPORT | 2016-04-28 |
ANNUAL REPORT | 2015-04-28 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State