| Entity Name: | NICHOLAS MICKELSON, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Mar 2019 (6 years ago) |
| Document Number: | L19000066960 |
| FEI/EIN Number | 83-4005124 |
| Address: | 13612 West Hillsborough Avenue, Tampa, FL, 33635, US |
| Mail Address: | 13612 West Hillsborough Avenue, Tampa, FL, 33635, US |
| ZIP code: | 33635 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679178271 | 2020-12-01 | 2020-12-01 | 8805 RUSTIC TRAIL CT, TAMPA, FL, 336351557, US | 13612 W HILLSBOROUGH AVE, TAMPA, FL, 336359638, US | |||||||||||||||
|
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| Phone | +1 813-616-9019 |
| Phone | +1 813-444-7502 |
Authorized person
| Name | MRS. MAISA BICUDO MICKELSON |
| Role | OFFICE MANAGER |
| Phone | 8136169019 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MICKELSON NICHOLAS | Agent | 13612 West Hillsborough Avenue, Tampa, FL, 33635 |
| Name | Role | Address |
|---|---|---|
| MICKELSON NICHOLAS | Manager | 13612 West Hillsborough Avenue, Tampa, FL, 33635 |
| MICKELSON MAISA | Manager | 13612 West Hillsborough Avenue, TAMPA, FL, 33635 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000161673 | NOVA DENTAL | ACTIVE | 2020-12-20 | 2025-12-31 | No data | 8805 RUSTIC TRAIL CT, TAMPA, FL, 33635 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-24 | 13612 West Hillsborough Avenue, Tampa, FL 33635 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-24 | 13612 West Hillsborough Avenue, Tampa, FL 33635 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-24 | 13612 West Hillsborough Avenue, Tampa, FL 33635 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-02-22 |
| ANNUAL REPORT | 2021-02-13 |
| ANNUAL REPORT | 2020-02-10 |
| Florida Limited Liability | 2019-03-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
