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SHALIMAR FAMILY DENTISTRY, PLLC - Florida Company Profile

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Company Details

Entity Name: SHALIMAR FAMILY DENTISTRY, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 30 Jun 2014 (11 years ago)
Last Event: LC AMENDED/RESTATED ARTICLE/NAME CHANGE
Event Date Filed: 24 May 2017 (8 years ago)
Document Number: L14000104598
FEI/EIN Number 47-1402765
Address: 1 11TH AVENUE #D3, SHALIMAR, FL, 32579, US
Mail Address: 1 11TH AVENUE #D3, SHALIMAR, FL, 32579, US
ZIP code: 32579
City: Shalimar
County: Okaloosa
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Moeller Gary A Manager 1 11TH AVENUE #D3, SHALIMAR, FL, 32579
Moeller Gary A Agent 1 11TH AVENUE #D3, SHALIMAR, FL, 32579

National Provider Identifier

NPI Number:
1932111564

Authorized Person:

Name:
LISA FLETCHER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
8506090796

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-11-01 1 11TH AVENUE #D3, SHALIMAR, FL 32579 -
CHANGE OF MAILING ADDRESS 2025-11-01 1 11TH AVENUE #D3, SHALIMAR, FL 32579 -
CHANGE OF PRINCIPAL ADDRESS 2024-11-01 1 11TH AVENUE #D3, SHALIMAR, FL 32579 -
CHANGE OF MAILING ADDRESS 2024-11-01 1 11TH AVENUE #D3, SHALIMAR, FL 32579 -
REGISTERED AGENT NAME CHANGED 2021-02-08 Moeller, Gary Anthony -
LC AMENDED/RESTATED ARTICLE/NAME CHANGE 2017-05-24 SHALIMAR FAMILY DENTISTRY, PLLC -

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-01-18
ANNUAL REPORT 2022-03-02
ANNUAL REPORT 2021-02-08
ANNUAL REPORT 2020-01-14
ANNUAL REPORT 2019-02-20
ANNUAL REPORT 2018-03-20
LC Amended/Restated Article/NC 2017-05-24
ANNUAL REPORT 2017-04-11
ANNUAL REPORT 2016-01-07

USAspending Awards / Financial Assistance

Date:
2021-02-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
80555.00
Total Face Value Of Loan:
80555.00
Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
80553.00
Total Face Value Of Loan:
80553.00
Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
80553.00
Total Face Value Of Loan:
80553.00
Date:
2020-04-23
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-23
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Jobs Reported:
12
Initial Approval Amount:
$80,553
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$80,553
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$81,546.12
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $80,553
Jobs Reported:
12
Initial Approval Amount:
$80,555
Date Approved:
2021-02-02
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$80,555
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Veteran
Forgiveness Amount:
$81,312
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $80,551
Utilities: $1

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Date of last update: 03 Aug 2025

Sources: Florida Department of State