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NICHOLAS MICKELSON, LLC - Florida Company Profile

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Company Details

Entity Name: NICHOLAS MICKELSON, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

NICHOLAS MICKELSON, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 08 Mar 2019 (6 years ago)
Document Number: L19000066960
FEI/EIN Number 83-4005124

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 13612 West Hillsborough Avenue, Tampa, FL, 33635, US
Mail Address: 13612 West Hillsborough Avenue, Tampa, FL, 33635, US
ZIP code: 33635
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MICKELSON NICHOLAS Manager 13612 West Hillsborough Avenue, Tampa, FL, 33635
MICKELSON MAISA Manager 13612 West Hillsborough Avenue, TAMPA, FL, 33635
MICKELSON NICHOLAS Agent 13612 West Hillsborough Avenue, Tampa, FL, 33635

National Provider Identifier

NPI Number:
1679178271
Certification Date:
2020-11-30

Authorized Person:

Name:
MRS. MAISA BICUDO MICKELSON
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000161673 NOVA DENTAL ACTIVE 2020-12-20 2025-12-31 - 8805 RUSTIC TRAIL CT, TAMPA, FL, 33635

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-24 13612 West Hillsborough Avenue, Tampa, FL 33635 -
CHANGE OF MAILING ADDRESS 2023-01-24 13612 West Hillsborough Avenue, Tampa, FL 33635 -
REGISTERED AGENT ADDRESS CHANGED 2023-01-24 13612 West Hillsborough Avenue, Tampa, FL 33635 -

Documents

Name Date
ANNUAL REPORT 2025-01-27
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

USAspending Awards / Financial Assistance

Date:
2021-03-12
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
16665.00
Total Face Value Of Loan:
16665.00
Date:
2020-04-21
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
1000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$16,665
Date Approved:
2021-03-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$16,665
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$16,800.15
Servicing Lender:
Wells Fargo Bank, National Association
Use of Proceeds:
Payroll: $16,665

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Date of last update: 01 Jul 2025

Sources: Florida Department of State