| Entity Name: | GREENBERG DENTAL SPECIALTY GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 23 Feb 2012 (13 years ago) |
| Date of dissolution: | 07 Sep 2023 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 07 Sep 2023 (a year ago) |
| Document Number: | L12000026688 |
| FEI/EIN Number | 59-3431240 |
| Address: | 926 GREAT POND DRIVE, SUITE 2003, ALTAMONTE SPRINGS, FL 32714 |
| Mail Address: | 926 GREAT POND DRIVE, SUITE 2003, ALTAMONTE SPRINGS, FL 32714 |
| ZIP code: | 32714 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245497528 | 2008-05-22 | 2015-09-02 | 926 GREAT POND DR STE 2003, ALTAMONTE SPRINGS, FL, 327147244, US | 926 GREAT POND DR STE 2003, ALTAMONTE SPRINGS, FL, 327147244, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 407-788-6533 |
Authorized person
| Name | TERRI GARDINER |
| Role | CREDENTIALING COORDINATOR |
| Phone | 4077725124 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN7501 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Katsur, James T, Dr. | Agent | 926 GREAT POND DRIVE, SUITE 2003, ALTAMONTE SPRINGS, FL 32714 |
| Name | Role | Address |
|---|---|---|
| KATSUR, JAMES T | Manager | 926 GREAT POND DRIVE, SUITE 2003, ALTAMONTE SPRINGS, FL 32714 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-09-07 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-23 | 926 GREAT POND DRIVE, SUITE 2003, ALTAMONTE SPRINGS, FL 32714 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-23 | 926 GREAT POND DRIVE, SUITE 2003, ALTAMONTE SPRINGS, FL 32714 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-23 | 926 GREAT POND DRIVE, SUITE 2003, ALTAMONTE SPRINGS, FL 32714 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-03-06 | Katsur, James T, Dr. | No data |
| CONVERSION | 2012-02-23 | No data | GEN-COR CONVERSION RESULT. THE CONVERTING ENTITY WAS GP1200000268 ORIGINALLY FILED ON 02/17/2012. CONVERSION NUMBER 700000120467 |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-09-07 |
| ANNUAL REPORT | 2023-03-28 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-04-24 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-04-06 |
| ANNUAL REPORT | 2017-04-17 |
| ANNUAL REPORT | 2016-04-12 |
| ANNUAL REPORT | 2015-03-25 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
