| Entity Name: | VBDC OF LAKE PARK, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 07 Aug 2018 (7 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L18000189338 |
| FEI/EIN Number | 83-1524738 |
| Mail Address: | 225 NORTH MACON ST., MACON, GA, 31210, US |
| Address: | 101 N CONGRESS AVE, LAKE PARK, FL, 33403, US |
| ZIP code: | 33403 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861964116 | 2018-12-27 | 2018-12-27 | 225 N MACON ST, MACON, GA, 312106562, US | 101 N CONGRESS AVE, LAKE PARK, FL, 334033804, US | |||||||||||||||
|
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| Phone | +1 478-733-0857 |
| Fax | 4782545709 |
Authorized person
| Name | DR. PAUL JASON MANN |
| Role | OWNER |
| Phone | 4787330857 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role |
|---|---|
| INCORP SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| MANN JASON | Manager | 225 NORTH MACON ST., MACON, GA, 31210 |
| SILVERSTEIN LEE | Manager | 2501 WINDY HILL RD, MARIETTA, GA, 30067 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-17 | 3458 LAKESHORE DRIVE, TALLAHASSEE, FL 32312 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-04 | 101 N CONGRESS AVE, LAKE PARK, FL 33403 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-04 |
| Florida Limited Liability | 2018-08-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
