| Entity Name: | MEDICAID DENTISTRY OF DAYTONA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MEDICAID DENTISTRY OF DAYTONA, 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 20 Jun 2013 (12 years ago) |
| Document Number: | L13000089190 |
| FEI/EIN Number |
46-3013511
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1021 S RIDGEWOOD AVE, DAYTONA BEACH, FL, 32114, US |
| Mail Address: | 1021 S RIDGEWOOD AVE, DAYTONA BEACH, FL, 32114, US |
| ZIP code: | 32114 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326470436 | 2013-07-31 | 2018-05-21 | 1021 SOUTH RIDGEWOOD AVE, DAYTONA BEACH, FL, 32114, US | 1021 SOUTH RIDGEWOOD AVE, DAYTONA BEACH, FL, 32114, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 386-304-2677 |
| Fax | 3863041899 |
Authorized person
| Name | MR. MUBASHIR CHAUDHRY |
| Role | OWNER |
| Phone | 3863042677 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| License Number | DN13783 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| License Number | DN18742 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BAIG HASAN | Agent | 7362 FUTURES DRIVE, ORLANDO, FL, 32819 |
| ASMA MANAGEMENT, LLC | Manager | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000090120 | DAYTONA PEDIATRIC DENTISTRY | EXPIRED | 2014-09-03 | 2024-12-31 | - | 1021 S RIDGEWOOD AVE, DAYTONA BEACH, FL, 32114 |
| G13000072032 | DAYTONA DENTAL | EXPIRED | 2013-07-18 | 2018-12-31 | - | 907 OUTER RD. STE. A, ORLANDO, FL, 32814 |
| G13000063494 | MARINA DENTAL | EXPIRED | 2013-06-24 | 2018-12-31 | - | 907 OUTER RD. STE. A, ORLANDO, FL, 32814 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-11 | 1021 S RIDGEWOOD AVE, DAYTONA BEACH, FL 32114 | - |
| CHANGE OF MAILING ADDRESS | 2019-02-11 | 1021 S RIDGEWOOD AVE, DAYTONA BEACH, FL 32114 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-02-12 | 7362 FUTURES DRIVE, 16, ORLANDO, FL 32819 | - |
| REGISTERED AGENT NAME CHANGED | 2016-03-31 | BAIG, HASAN | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-02-23 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-02-12 |
| ANNUAL REPORT | 2017-02-27 |
| ANNUAL REPORT | 2016-03-31 |
| ANNUAL REPORT | 2015-02-10 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
