| Entity Name: | MIDTOWN DENTAL CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MIDTOWN DENTAL CENTER, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 06 Dec 2011 (13 years ago) |
| Date of dissolution: | 17 Sep 2014 (11 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 17 Sep 2014 (11 years ago) |
| Document Number: | L11000137300 |
| FEI/EIN Number |
APPLIED FOR
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 14025 SW 142 AVE, #9, MIAMI, FL, 33186, US |
| Mail Address: | PO BOX 12197, ST. PETERSBURG, FL, 33713, US |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992078521 | 2012-02-13 | 2012-02-13 | PO BOX 12197, ST PETERSBURG, FL, 337332197, US | 3011 CENTRAL AVE, ST PETERSBURG, FL, 337138632, US | |||||||||||||||||||||||
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| Phone | +1 727-322-1828 |
Authorized person
| Name | JACQUELINE NELSON-MANGATAL |
| Role | DENTIST |
| Phone | 7863165044 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN16582 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 075681400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NELSON-MANTAGAL JACQUELINE A | Manager | 14025 SW 142 AVE #9, MIAMI, FL, 33186 |
| NELSON-MANGATAL JACQUELINE A | Agent | 14025 SW 142 AVE, MIAMI, FL, 33186 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2014-09-17 | - | - |
| REINSTATEMENT | 2012-10-18 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | - | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2014-09-17 |
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-04-18 |
| REINSTATEMENT | 2012-10-18 |
| Florida Limited Liability | 2011-12-06 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
