| Entity Name: | LAKEVIEW DENTAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Feb 2013 (12 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 02 Sep 2015 (9 years ago) |
| Document Number: | L13000024592 |
| FEI/EIN Number | 46-2030572 |
| Address: | 1402 Royal Palm Beach Blvd, Ste 500A, Royal Palm Beach, FL, 33411, US |
| Mail Address: | 1402 Royal Palm Beach Blvd, Ste 500A, Royal Palm Beach, FL, 33411, US |
| ZIP code: | 33411 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386006906 | 2016-03-23 | 2016-09-20 | 1402 ROYAL PALM BEACH BLVD. STE 500, ROYAL PALM BEACH, FL, 33411, US | 1402 ROYAL PALM BEACH BLVD STE 500, ROYAL PALM BEACH, FL, 334111694, US | |||||||||||||
|
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| Phone | +1 561-898-1010 |
Authorized person
| Name | SHAYAN GHODSI |
| Role | MANAGER |
| Phone | 5618981010 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NETBURN DAVID A | Agent | 5521 N UNIVERSITY DR, CORAL SPRINGS, FL, 33067 |
| Name | Role | Address |
|---|---|---|
| GHODSI SHAYAN | Managing Member | 1402 Royal Palm Beach Blvd, Ste 500A, Royal Palm Beach, FL, 33411 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2025-01-18 | Ghodsi, Shayan | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-18 | 1402 Royal Palm Beach Blvd, Ste 500A, Royal Palm Beach, FL 33411 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-13 | 1402 Royal Palm Beach Blvd, Ste 500A, Royal Palm Beach, FL 33411 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-02-11 | 1402 Royal Palm Beach Blvd, Ste 500A, Royal Palm Beach, FL 33411 | No data |
| LC AMENDMENT AND NAME CHANGE | 2015-09-02 | LAKEVIEW DENTAL, LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-09-02 | 5521 N UNIVERSITY DR, CORAL SPRINGS, FL 33067 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-18 |
| ANNUAL REPORT | 2024-01-06 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-01-13 |
| ANNUAL REPORT | 2021-02-14 |
| ANNUAL REPORT | 2020-04-01 |
| ANNUAL REPORT | 2019-02-03 |
| ANNUAL REPORT | 2018-02-11 |
| ANNUAL REPORT | 2017-01-28 |
| ANNUAL REPORT | 2016-02-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
