| Entity Name: | HALLANDALE DENTAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 13 Sep 2019 (5 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L19000231971 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 200 E HALLANDALE BEACH BLVD, HALLANDALE, FL, 33009, US |
| Mail Address: | 200 E HALLANDALE BEACH BLVD, HALLANDALE, FL, 33009, US |
| ZIP code: | 33009 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568081909 | 2020-04-15 | 2020-04-15 | 200 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL, 330095525, US | 200 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL, 330095525, US | |||||||||||||||||||||
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| Phone | +1 954-718-3384 |
| Fax | 5614312468 |
Authorized person
| Name | INGRID JOHANNA ROMERO |
| Role | OWNER |
| Phone | 9547183384 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI TYPE 1 |
| Number | 1972807204 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KIRSHBAUM RANDY I | Agent | 200 E HALLANDALE BEACH BLVD, HALLANDALE, FL, 33009 |
| Name | Role | Address |
|---|---|---|
| SAMUELSON VICTORIA | Manager | 200 E HALLANDALE BEACH BLVD, HALLANDALE, FL, 33009 |
| Kirshbaum Randy | Manager | 200 E Hallandale Beach Blvd, Hallandale, FL, 33009 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-11-16 | KIRSHBAUM, RANDY I | No data |
| LC STMNT OF RA/RO CHG | 2020-04-09 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-04-09 | 200 E HALLANDALE BEACH BLVD, HALLANDALE, FL 33009 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-03-07 |
| AMENDED ANNUAL REPORT | 2022-09-08 |
| ANNUAL REPORT | 2022-04-15 |
| AMENDED ANNUAL REPORT | 2021-11-16 |
| ANNUAL REPORT | 2021-01-15 |
| CORLCRACHG | 2020-04-09 |
| ANNUAL REPORT | 2020-03-06 |
| Florida Limited Liability | 2019-09-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
