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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.

SHALIMAR FAMILY DENTISTRY, PLLC 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: 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

Federal Employer Identification (FEI) Number assigned by the IRS.

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:
2020-04-23
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 Jul 2025

Sources: Florida Department of State