| Entity Name: | A&M DENTAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Sep 2017 (7 years ago) |
| Document Number: | L17000192123 |
| FEI/EIN Number | 822801813 |
| Address: | 8255 LEE VISTA BLVD, SUITE F - G, ORLANDO, FL, 32829, US |
| Mail Address: | 8255 Lee Vista Blvd., ORLANDO, FL, 32829, US |
| ZIP code: | 32829 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447726922 | 2018-10-22 | 2018-10-22 | 1202 CYPRESS GLEN CIR, KISSIMMEE, FL, 347417563, US | 8255 LEE VISTA BLVD STE F-G, ORLANDO, FL, 328298018, US | |||||||||||||
|
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| Phone | +1 407-810-0450 |
Authorized person
| Name | DR. MIGUEL TABARES |
| Role | MGRM |
| Phone | 4078100467 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| ANDINO CONSULTING GROUP INC | Agent |
| Name | Role | Address |
|---|---|---|
| TABARES MIGUEL R | Managing Member | 11912 YELLOW FIN TRAIL, ORLANDO, FL, 32827 |
| BRACHO ANDREINA | Managing Member | 8255 Lee Vista Blvd., ORLANDO, FL, 32829 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000109001 | HI-5 CHILDREN'S DENTISTRY AT LAKE NONA ORLANDO | ACTIVE | 2017-10-02 | 2027-12-31 | No data | 8255 LEE VISTA BLVD, SUITE F-G, ORLANDO, FL, 32828 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-02 | 8255 LEE VISTA BLVD, SUITE F - G, ORLANDO, FL 32829 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-17 | 8255 LEE VISTA BLVD, SUITE F - G, ORLANDO, FL 32829 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-03 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-01-31 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-01-14 |
| ANNUAL REPORT | 2018-03-10 |
| Florida Limited Liability | 2017-09-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
