| Entity Name: | ORMOND FAMILY DENTAL, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 May 2015 (10 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 28 Oct 2019 (5 years ago) |
| Document Number: | L15000089431 |
| FEI/EIN Number | 824676440 |
| Address: | 1200 W GRANADA BLVD SUITE 2, ORMOND BEACH, FL, 32174, US |
| Mail Address: | 1200 W GRANADA BLVD SUITE 2, ORMOND BEACH, FL, 32174, US |
| ZIP code: | 32174 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033837133 | 2022-08-16 | 2022-08-16 | 8495 TWIN LAKE DR, BOCA RATON, FL, 334961923, US | 1200 W GRANADA BLVD STE 2, ORMOND BEACH, FL, 321748157, US | |||||||||||||||||
|
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| Phone | +1 954-397-1452 |
| Phone | +1 386-275-1792 |
| Fax | 3862650576 |
Authorized person
| Name | DR. JACQUES BENCHIMOL |
| Role | OWNER |
| Phone | 9543971452 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BENCHIMOL JACQUES | Agent | 8495 Twin Lakes Dr, Boca Raton, FL, 33496 |
| Name | Role | Address |
|---|---|---|
| BENCHIMOL JACQUES Dr. | Manager | 8495 Twin Lakes Dr, Boca Raton, FL, 33496 |
| Name | Role | Address |
|---|---|---|
| Affordable Business Services LLC | Auth | 2030 W Baseline Rd Ste 182-240, Phoenix, AZ, 85041 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-12 | 8495 Twin Lakes Dr, Boca Raton, FL 33496 | No data |
| REINSTATEMENT | 2019-10-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REINSTATEMENT | 2017-01-12 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-01-12 | BENCHIMOL, JACQUES | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-01-12 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-05-27 |
| ANNUAL REPORT | 2020-01-12 |
| REINSTATEMENT | 2019-10-28 |
| ANNUAL REPORT | 2018-01-30 |
| REINSTATEMENT | 2017-01-12 |
| Florida Limited Liability | 2015-05-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
