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NICHOLAS MICKELSON, LLC - Florida Company Profile

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
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

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

Contacts

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

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

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9795258500 2021-03-12 0455 PPP 8805 Rustic Trail Ct, Tampa, FL, 33635-1557
Loan Status Date 2022-02-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 16665
Loan Approval Amount (current) 16665
Undisbursed Amount 0
Franchise Name -
Lender Location ID 12096
Servicing Lender Name Wells Fargo Bank, National Association
Servicing Lender Address 101 N Philips Ave, SIOUX FALLS, SD, 57104-6738
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Tampa, HILLSBOROUGH, FL, 33635-1557
Project Congressional District FL-14
Number of Employees 1
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 12096
Originating Lender Name Wells Fargo Bank, National Association
Originating Lender Address SIOUX FALLS, SD
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 16800.15
Forgiveness Paid Date 2022-01-06

Date of last update: 01 Apr 2025

Sources: Florida Department of State