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TAMARAC FAMILY DENTAL & ORAL SURGERY LLC

Company Details

Entity Name: TAMARAC FAMILY DENTAL & ORAL SURGERY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 21 Mar 2019 (6 years ago)
Document Number: L19000076579
FEI/EIN Number 83-3691108
Address: 7351 W OAKLAND PARK BLVD, #102, TAMARAC, FL 33319
Mail Address: 7351 W OAKLAND PARK BLVD, #102, TAMARAC, FL 33319
ZIP code: 33319
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952863169 2019-04-05 2024-05-01 7351 W OAKLAND PARK BLVD, TAMARAC, FL, 333197107, US 7351 W OAKLAND PARK BLVD STE 102, TAMARAC, FL, 333197107, US

Contacts

Phone +1 954-742-5055

Authorized person

Name DR. WILLIAM MATHURIN
Role PRESIDENT
Phone 9547425055

Taxonomy

Taxonomy Code 1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary No
Taxonomy Code 261QS0112X - Oral and Maxillofacial Surgery Clinic/Center
Is Primary Yes

Agent

Name Role Address
MATHURIN, WILLIAM Agent 7351 West Oakland Park Blvd #102, Tamarac, FL 33319

President

Name Role Address
MATHURIN, WILLIAM President 7351 West Oakland Park Blvd #102, Tamarac, FL 33319

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2020-02-02 7351 West Oakland Park Blvd #102, Tamarac, FL 33319 No data

Documents

Name Date
ANNUAL REPORT 2025-02-11
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-03-09
ANNUAL REPORT 2022-03-26
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-02-02
Florida Limited Liability 2019-03-21

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6202857204 2020-04-27 0455 PPP 7351 West Oakland Park Blvd #102, Tamarac, FL, 33319
Loan Status Date 2021-05-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 27500
Loan Approval Amount (current) 27500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 464999
Servicing Lender Name BankUnited, National Association
Servicing Lender Address 14817 Oak Lane, MIAMI LAKES, FL, 33016-1517
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address Tamarac, BROWARD, FL, 33319-0001
Project Congressional District FL-20
Number of Employees 5
NAICS code 621210
Borrower Race Black or African American
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 464999
Originating Lender Name BankUnited, National Association
Originating Lender Address MIAMI LAKES, FL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 27763.54
Forgiveness Paid Date 2021-04-12

Date of last update: 16 Feb 2025

Sources: Florida Department of State