| Entity Name: | AMELIA GENTLE DENTISTRY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 18 Feb 2016 (9 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: | L16000034334 |
| FEI/EIN Number | 81-1547442 |
| Address: | 1699 SOUTH 14TH STREET, SUITE 21, FERNANDINA BEACH, FL 32034 |
| Mail Address: | 1699 SOUTH 14TH STREET, SUITE 21, FERNANDINA BEACH, FL 32034 |
| ZIP code: | 32034 |
| County: | Nassau |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679969786 | 2015-04-15 | 2015-04-15 | 1699 S 14TH ST STE 21, FERNANDINA BEACH, FL, 320341965, US | 1699 S 14TH ST STE 21, FERNANDINA BEACH, FL, 320341965, US | |||||||||||||||||
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| Phone | +1 904-277-8500 |
Authorized person
| Name | MARK OLBINA |
| Role | OWNER DENTIST |
| Phone | 9042778500 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN10812 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| OLBINA, MARK R | Agent | 1699 SOUTH 14TH STREET, SUITE 21, FERNANDINA BEACH, FL 32034 |
| Name | Role | Address |
|---|---|---|
| OLBINA, MARK R | Manager | 1699 SOUTH 14TH STREET, SUITE 21, FERNANDINA BEACH, FL 32034 |
| Name | Role | Address |
|---|---|---|
| OLBINA, MARK R | President | 1699 SOUTH 14TH STREET, SUITE 21, FERNANDINA BEACH, FL 32034 |
| Name | Role | Address |
|---|---|---|
| OLBINA, MARK R | Treasurer | 1699 SOUTH 14TH STREET, SUITE 21, FERNANDINA BEACH, FL 32034 |
| Name | Role | Address |
|---|---|---|
| Miller, Jacquelyn O | Vice President | 1699 SOUTH 14TH STREET, SUITE 21, FERNANDINA BEACH, FL 32034 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REINSTATEMENT | 2021-10-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REINSTATEMENT | 2019-10-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-11-16 | OLBINA, MARK R | No data |
| REINSTATEMENT | 2017-11-16 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-02-01 |
| REINSTATEMENT | 2021-10-06 |
| ANNUAL REPORT | 2020-06-27 |
| REINSTATEMENT | 2019-10-02 |
| ANNUAL REPORT | 2018-02-01 |
| REINSTATEMENT | 2017-11-16 |
| Florida Limited Liability | 2016-02-18 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8382947202 | 2020-04-28 | 0491 | PPP | 1699 S 14TH ST, FERNANDINA BEACH, FL, 32034-1963 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9627818405 | 2021-02-17 | 0491 | PPS | 1699 S 14th St Ste 21, Fernandina Beach, FL, 32034-1965 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 19 Feb 2025
Sources: Florida Department of State
