| Entity Name: | RAFIK DIB, DDS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 06 Apr 2017 (8 years ago) |
| Document Number: | L17000077457 |
| FEI/EIN Number | 82-1126966 |
| Address: | 9034 Woodland Forest Rd, Orlando, FL 32836 |
| Mail Address: | 9034 Woodland Forest Rd, Orlando, FL 32836 |
| ZIP code: | 32836 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619575057 | 2020-10-16 | 2020-10-16 | 7124 SPANISH TRL, PENSACOLA, FL, 325046818, US | 3003 ENTERPRISE RD E, CLEARWATER, FL, 337591304, US | |||||||||||||||
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| Phone | +1 504-908-3711 |
| Phone | +1 727-799-4492 |
Authorized person
| Name | DR. RAFIK DIB |
| Role | PERIODONTIST |
| Phone | 5049083711 |
Taxonomy
| Taxonomy Code | 1223P0300X - Periodontist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DIB, RAFIK | Agent | 9034 Woodland Forest Rd, Orlando, FL 32836 |
| Name | Role | Address |
|---|---|---|
| DIB, RAFIK | DR. | 9034 Woodland Forest Rd, Orlando, FL 32836 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-04 | 9034 Woodland Forest Rd, Orlando, FL 32836 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-04 | 9034 Woodland Forest Rd, Orlando, FL 32836 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-04 | 9034 Woodland Forest Rd, Orlando, FL 32836 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-04 |
| ANNUAL REPORT | 2022-01-23 |
| AMENDED ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-06-04 |
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-03-04 |
| Florida Limited Liability | 2017-04-06 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9743387310 | 2020-05-02 | 0491 | PPP | 7124 SPANISH TRL, PENSACOLA, FL, 32504-6818 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 18 Feb 2025
Sources: Florida Department of State
