| Entity Name: | SANIBEL ISLAND DENTAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 Sep 2013 (11 years ago) |
| Document Number: | L13000131909 |
| FEI/EIN Number | 46-3679300 |
| Address: | 6120 WINKLER ROAD SUITE I, FORT MYERS, FL 33919 |
| Mail Address: | 6120 WINKLER ROAD SUITE I, FORT MYERS, FL 33919 |
| ZIP code: | 33919 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710314489 | 2013-09-26 | 2013-09-26 | 40 BARKLEY CIR STE 2, FORT MYERS, FL, 339074518, US | 1648 PERIWINKLE WAY STE C1, SANIBEL, FL, 339574406, US | |||||||||||||||||||
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| Phone | +1 239-939-2272 |
| Fax | 2399395155 |
| Phone | +1 239-395-1211 |
| Fax | 2393952303 |
Authorized person
| Name | DR. MATTHEW L DAVIS |
| Role | OWNER |
| Phone | 2399392272 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DAVIS, MATTHEW | Agent | 6120 WINKLER ROAD SUITE I, FORT MYERS, FL 33919 |
| Name | Role | Address |
|---|---|---|
| DAVIS, MATTHEW | Managing Member | 6120 WINKLER ROAD SUITE I, FORT MYERS, FL 33919 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-27 | 6120 WINKLER ROAD SUITE I, FORT MYERS, FL 33919 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-27 | 6120 WINKLER ROAD SUITE I, FORT MYERS, FL 33919 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-04-27 | DAVIS, MATTHEW | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-27 | 6120 WINKLER ROAD SUITE I, FORT MYERS, FL 33919 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-02-13 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-02-04 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-01-19 |
| ANNUAL REPORT | 2016-02-16 |
| ANNUAL REPORT | 2015-04-10 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
