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MEDICAID DENTISTRY OF DAYTONA, LLC - Florida Company Profile

Company Details

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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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

National Provider Identifier

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

Contacts

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

Key Officers & Management

Name Role Address
BAIG HASAN Agent 7362 FUTURES DRIVE, ORLANDO, FL, 32819
ASMA MANAGEMENT, LLC Manager -

Fictitious Names

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

Events

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 -

Documents

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