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CHARLOTTE FAMILY DENTISTRY, LLC

Company Details

Entity Name: CHARLOTTE FAMILY DENTISTRY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 01 Aug 2016 (9 years ago)
Date of dissolution: 27 Sep 2019 (5 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (5 years ago)
Document Number: L16000143690
FEI/EIN Number 81-3424691
Address: 18000 TOLEDO BLADE BLVD, PORT CHARLOTTE, FL, 33948
Mail Address: 18000 TOLEDO BLADE BLVD, PORT CHARLOTTE, FL, 33948, US
ZIP code: 33948
County: Charlotte
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639622988 2016-08-03 2016-08-03 18000 TOLEDO BLADE BLVD, PORT CHARLOTTE, FL, 339481980, US 18000 TOLEDO BLADE BLVD, PORT CHARLOTTE, FL, 339481980, US

Contacts

Phone +1 941-624-4000
Fax 9416242208

Authorized person

Name DR. DEAN J MOURSELAS
Role MANAGING MEMBER
Phone 9416244000

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number DN16793
State FL
Is Primary Yes

Agent

Name Role
WILSON TAX & ACCOUNTING INC. Agent

Manager

Name Role Address
MOURSELAS DEAN DDS Manager 18000 TOLEDO BLADE BLVD, PORT CHARLOTTE, FL, 33948

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000127966 TOLEDO BLADE DENTISTRY EXPIRED 2016-11-29 2021-12-31 No data 18000 TOLEDO BLADE BLVD, PORT CHARLOTTE, FL, 33948

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
REGISTERED AGENT NAME CHANGED 2018-03-09 Wilson Tax & Accounting, Inc. No data
REGISTERED AGENT ADDRESS CHANGED 2018-03-09 1300 Enterprise Dr, Ste A, Port Charlotte, FL 33953 No data
CHANGE OF MAILING ADDRESS 2017-03-14 18000 TOLEDO BLADE BLVD, PORT CHARLOTTE, FL 33948 No data

Documents

Name Date
ANNUAL REPORT 2018-03-09
ANNUAL REPORT 2017-03-14
Florida Limited Liability 2016-08-01

Date of last update: 01 Feb 2025

Sources: Florida Department of State