| Entity Name: | IDENTAL OF COCONUT CREEK, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 06 Jan 2017 (8 years ago) |
| Date of dissolution: | 15 Dec 2022 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 15 Dec 2022 (2 years ago) |
| Document Number: | L17000003580 |
| FEI/EIN Number | 81-5460129 |
| Address: | 1507 LYONS ROAD, COCONUT CREEK, FL 33063 |
| Mail Address: | 1507 LYONS ROAD, COCONUT CREEK, FL 33063 |
| ZIP code: | 33063 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467990986 | 2017-02-03 | 2020-09-03 | 1507 LYONS RD, COCONUT CREEK, FL, 330633934, US | 1507 LYONS RD, COCONUT CREEK, FL, 330633934, US | |||||||||||||||||
|
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| Phone | +1 954-974-4101 |
Authorized person
| Name | MICHAEL FLOYD BATTLE |
| Role | DENTIST/ OWNER |
| Phone | 7273275561 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN16932 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| GALVAN MESSICK, PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| Battle, Michael, DDS | Manager | 1507 LYONS ROAD, COCONUT CREEK, FL 33063 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-12-15 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-12-13 | 1507 LYONS ROAD, COCONUT CREEK, FL 33063 | No data |
| CHANGE OF MAILING ADDRESS | 2017-12-13 | 1507 LYONS ROAD, COCONUT CREEK, FL 33063 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-12-13 | GALVAN MESSICK, PLLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-12-13 | 951 YAMATO ROAD, SUITE 250, BOCA RATON, FL 33431 | No data |
| LC AMENDMENT | 2017-12-11 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-12-15 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-04-15 |
| ANNUAL REPORT | 2020-03-11 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-03-28 |
| LC Amendment | 2017-12-11 |
| Florida Limited Liability | 2017-01-06 |
Date of last update: 18 Feb 2025
Sources: Florida Department of State
