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PROVIDENCE DENTAL LLC - Florida Company Profile

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Company Details

Entity Name: PROVIDENCE DENTAL LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

PROVIDENCE DENTAL LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 05 Apr 2017 (8 years ago)
Date of dissolution: 25 Sep 2020 (5 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (5 years ago)
Document Number: L17000076217
FEI/EIN Number 61-1843652

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 4501 S. SEMORAN BLVD., ORLANDO, FL, 32822
Mail Address: 4501 S. SEMORAN BLVD., ORLANDO, FL, 32822
ZIP code: 32822
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MORALES HERMAN Manager 4501 S SEMORAN BLVD, ORLANDO, FL, 32822
Morales Herman Agent 4501 S. SEMORAN BLVD., ORLANDO, FL, 32822

National Provider Identifier

NPI Number:
1407330145

Authorized Person:

Name:
NADIA KAHOOK
Role:
CREDENTIALING CONSULTANT
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
4072860439

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 - -
REINSTATEMENT 2018-10-12 - -
REGISTERED AGENT NAME CHANGED 2018-10-12 Morales, Herman -
REGISTERED AGENT ADDRESS CHANGED 2018-10-12 4501 S. SEMORAN BLVD., ORLANDO, FL 32822 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 - -

Documents

Name Date
ANNUAL REPORT 2019-05-01
REINSTATEMENT 2018-10-12
Florida Limited Liability 2017-04-05

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Date of last update: 03 Jun 2025

Sources: Florida Department of State