| Entity Name: | FLORIDA DENTAL TEAM, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Feb 2018 (7 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 29 May 2024 (8 months ago) |
| Document Number: | L18000051708 |
| FEI/EIN Number | 82-5003579 |
| Address: | 1000 Woodcock Road, Suite 120, Orlando, FL 32803 |
| Mail Address: | 9709 Lakeside Blvd., Ste. 350, Spring, TX 77381 |
| ZIP code: | 32803 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033824313 | 2023-01-20 | 2024-08-08 | 182 INDUSTRIAL RD, GLEN ROCK, PA, 173278626, US | 1620 S CONGRESS AVE STE 101, PALM SPRINGS, FL, 334612128, US | |||||||||||||||||||||||
|
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| Phone | +1 717-759-4375 |
| Fax | 7177594336 |
| Phone | +1 561-291-9839 |
| Fax | 5614370403 |
Authorized person
| Name | JUAN OJEDA |
| Role | OWNER |
| Phone | 4077971543 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | No |
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| OJEDA, JUAN | Manager | 1000 Woodcock Road, Suite 120 Orlando, FL 32803 |
| GYLES, RICHARD | Manager | 1000 Woodcock Road, Suite 120 Orlando, FL 32803 |
| Larsen, Devin | Manager | 9709 Lakeside Blvd., Ste. 350 Spring, TX 77381 |
| Smythe, Dennis | Manager | 9709 Lakeside Blvd., Ste. 350 Spring, TX 77381 |
| Name | Role | Address |
|---|---|---|
| OJEDA, JUAN | Authorized Member | 1000 Woodcock Road, Suite 120 Orlando, FL 32803 |
| GYLES, RICHARD | Authorized Member | 1000 Woodcock Road, Suite 120 Orlando, FL 32803 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-08-13 | 1000 Woodcock Road, Suite 120, Orlando, FL 32803 | No data |
| LC AMENDMENT | 2024-05-29 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-22 | 1000 Woodcock Road, Suite 120, Orlando, FL 32803 | No data |
| LC AMENDMENT | 2018-04-04 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-08-13 |
| LC Amendment | 2024-05-29 |
| ANNUAL REPORT | 2024-04-22 |
| AMENDED ANNUAL REPORT | 2023-09-20 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-03-24 |
| ANNUAL REPORT | 2021-04-24 |
| ANNUAL REPORT | 2020-05-07 |
| ANNUAL REPORT | 2019-04-25 |
| LC Amendment | 2018-04-04 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
