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TOTAL DENTAL CARE OF FLORIDA LLC

Company Details

Entity Name: TOTAL DENTAL CARE OF FLORIDA LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 23 Sep 2014 (10 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: L14000148830
FEI/EIN Number 47-1983275
Mail Address: P.O. BOX 440308, MIAMI, FL 33144
Address: 5701 SW 107TH AVE, STE 203, MIAMI, FL 33173
ZIP code: 33173
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447656491 2014-11-18 2019-09-30 PO BOX 440308, MIAMI, FL, 331440308, US 4410 W 16TH AVE STE 30, HIALEAH, FL, 330127835, US

Contacts

Phone +1 786-971-2319
Phone +1 305-747-7711
Fax 3056979785

Authorized person

Name FARID BLANCO
Role PRESIDENT
Phone 3057477711

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number DN16115
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 002973600
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TOTAL DENTAL CARE OF FLORIDA, LLC 401(K) PROFIT SHARING PLAN 2020 471983275 2021-12-30 TOTAL DENTAL CARE OF FLORIDA, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 3057477266
Plan sponsor’s address 5701 SW 107TH AVENUE, MIAMI, FL, 33155
TOTAL DENTAL CARE OF FLORIDA, LLC 401(K) PROFIT SHARING PLAN 2020 471983275 2021-10-14 TOTAL DENTAL CARE OF FLORIDA, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 3057477266
Plan sponsor’s address 5701 SW 107TH AVENUE, MIAMI, FL, 33155
TOTAL DENTAL CARE OF FLORIDA, LLC 401(K) PROFIT SHARING PLAN 2019 471983275 2021-10-14 TOTAL DENTAL CARE OF FLORIDA, LLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 3057477266
Plan sponsor’s address 5701 SW 107TH AVENUE, MIAMI, FL, 33155
TOTAL DENTAL CARE OF FLORIDA, LLC 401(K) PROFIT SHARING PLAN 2018 471983275 2019-10-21 TOTAL DENTAL CARE OF FLORIDA, LLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 3057477266
Plan sponsor’s address 5701 SW 107TH AVENUE, MIAMI, FL, 33155
TOTAL DENTAL CARE OF FLORIDA LLC 401(K) PROFIT SHARING PLAN 2017 471983275 2019-10-19 TOTAL DENTAL CARE OF FLORIDA LLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 3057477266
Plan sponsor’s address 5701 SW 107TH AVE., MIAMI, FL, 33155

Signature of

Role Plan administrator
Date 2019-10-19
Name of individual signing KEMEL BLANCO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-19
Name of individual signing KEMEL BLANCO
Valid signature Filed with authorized/valid electronic signature
TOTAL DENTAL CARE OF FLORIDA LLC 401(K) PROFIT SHARING PLAN 2016 471983275 2018-11-19 TOTAL DENTAL CARE OF FLORIDA LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 3057477266
Plan sponsor’s address 7801 CORAL WAY STE 100, MIAMI, FL, 33155

Signature of

Role Plan administrator
Date 2018-11-19
Name of individual signing FARID BLANCO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-11-19
Name of individual signing FARID BLANCO
Valid signature Filed with authorized/valid electronic signature
TOTAL DENTAL CARE OF FLORIDA LLC 401(K) PROFIT SHARING PLAN 2015 471983275 2016-10-15 TOTAL DENTAL CARE OF FLORIDA LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 3057477266
Plan sponsor’s address 7801 CORAL WAY STE 100, MIAMI, FL, 33155

Signature of

Role Plan administrator
Date 2016-10-15
Name of individual signing FARID BLANCO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BLANCO, FARID Agent 5701 SW 107TH AVE, STE 203, MIAMI, FL 33173

Managing Member

Name Role Address
BLANCO, FARID Managing Member 5701 SW 107TH AVE, STE 203 MIAMI, FL 33173

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000027584 TOTAL DENTAL CARE ACTIVE 2015-03-16 2025-12-31 No data P O BOX 440308, MIAMI, FL, 33144

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
CHANGE OF PRINCIPAL ADDRESS 2021-02-06 5701 SW 107TH AVE, STE 203, MIAMI, FL 33173 No data
REGISTERED AGENT ADDRESS CHANGED 2021-02-06 5701 SW 107TH AVE, STE 203, MIAMI, FL 33173 No data
CHANGE OF MAILING ADDRESS 2019-05-01 5701 SW 107TH AVE, STE 203, MIAMI, FL 33173 No data

Documents

Name Date
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-02-06
ANNUAL REPORT 2020-06-29
ANNUAL REPORT 2019-05-01
ANNUAL REPORT 2018-04-20
ANNUAL REPORT 2017-04-29
ANNUAL REPORT 2016-04-30
ANNUAL REPORT 2015-04-29
Florida Limited Liability 2014-09-23

Date of last update: 21 Jan 2025

Sources: Florida Department of State