| Entity Name: | MORELL DENTAL CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 23 Dec 2016 (8 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L16000231439 |
| FEI/EIN Number | 81-5178112 |
| Address: | 2700 SW 77 CT, MIAMI, FL 33155 |
| Mail Address: | 2700 SW 77 CT, MIAMI, FL 33155 |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083149736 | 2017-05-01 | 2017-05-01 | 3750 W 16TH AVE, HIALEAH, FL, 330124654, US | 3750 W 16TH AVE, HIALEAH, FL, 330124654, US | |||||||||||||||||||||||||
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| Phone | +1 305-231-0545 |
| Fax | 3052903205 |
Authorized person
| Name | NAYADE MORELL |
| Role | DOCTOR |
| Phone | 3052310545 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | DN17626 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 013159500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MORELL, NAYADE | Agent | 2700 SW 77 CT, MIAMI, FL 33155 |
| Name | Role | Address |
|---|---|---|
| MORELL, NAYADE | Manager | 2700 SW 77 CT, MIAMI, FL 33155 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000041939 | MORELL DENTAL | EXPIRED | 2018-03-30 | 2023-12-31 | No data | 3750 W. 16TH AVE., SUITE 236-U, HIALEAH, FL, 33012 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-04-22 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-03-06 |
| Florida Limited Liability | 2016-12-23 |
Date of last update: 18 Feb 2025
Sources: Florida Department of State
