| Entity Name: | FLORIDA FAMILY DENTAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 21 Jun 2013 (12 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L13000089801 |
| FEI/EIN Number | 46-3023423 |
| Mail Address: | 8961 LITTLE FALLS WAY, DELRAY BEACH, FL 33446 |
| Address: | 10624 S FEDERAL HWY, PORT SAINT LUCIE, FL 34952 |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154759041 | 2013-10-31 | 2013-10-31 | 10624 S FEDERAL HWY, PORT ST LUCIE, FL, 349526401, US | 10624 S FEDERAL HWY, PORT ST LUCIE, FL, 349526401, US | |||||||||||||||||||
|
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| Phone | +1 772-380-0920 |
| Fax | 7723800921 |
Authorized person
| Name | DR. MANUEL IGNACIO CRUCES |
| Role | DENTIST, DIRECTOR |
| Phone | 7723800920 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | DN18716 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| IMERY, GILBERTO | Agent | 8961 LITTLE FALLS WAY, DELRAY BEACH, FL 33446 |
| Name | Role | Address |
|---|---|---|
| IMERY, GILBERTO | Managing Member | 8961 LITTLE FALLS WAY, DELRAY BEACH, FL 33446 |
| CRUCES, MANUEL | Managing Member | 8961 LITTLE FALLS WAY, DELRAY BEACH, FL 33446 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-03-05 | 10624 S FEDERAL HWY, PORT SAINT LUCIE, FL 34952 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-02 | 10624 S FEDERAL HWY, PORT SAINT LUCIE, FL 34952 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-02 | 8961 LITTLE FALLS WAY, DELRAY BEACH, FL 33446 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-03-05 |
| ANNUAL REPORT | 2014-04-02 |
| Florida Limited Liability | 2013-06-21 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
