| Entity Name: | MODERN DENTAL CAPE CORAL, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MODERN DENTAL CAPE CORAL, PLLC 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. |
| 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: | 14 Nov 2019 (5 years ago) |
| Document Number: | L19000276173 |
| FEI/EIN Number |
84-3741387
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 706 SW Pine Island Road, CAPE CORAL, FL, 33991, US |
| Mail Address: | 706 SW Pine Island Road, Suite 103, Cape Coral, FL, 33991, US |
| ZIP code: | 33991 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437785847 | 2020-03-17 | 2020-03-17 | 14575 TAMIAMI TRL STE A, NORTH PORT, FL, 342872743, US | 706 SW PINE ISLAND RD, SUITE 103, CAPE CORAL, FL, 33991, US | |||||||||||||||||||
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| Phone | +1 941-888-2362 |
| Phone | +1 941-610-6200 |
Authorized person
| Name | TYLER M BLACKENBURG |
| Role | PERIODONTIST |
| Phone | 9547367924 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Taxonomy Code | 1223P0300X - Periodontist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| PETTE GREGORY A | Authorized Manager | 706 SW Pine Island Road, Cape Coral, FL, 33991 |
| ELIOPOULOS LUCAS G | Authorized Manager | 706 SW Pine Island Road, CAPE CORAL, FL, 33991 |
| PETTE GREGORY A | Agent | 706 SW Pine Island Road, Cape Coral, FL, 33991 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-01 | 706 SW Pine Island Road, Suites 103/104, CAPE CORAL, FL 33991 | - |
| CHANGE OF MAILING ADDRESS | 2021-04-01 | 706 SW Pine Island Road, Suites 103/104, CAPE CORAL, FL 33991 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-01 | 706 SW Pine Island Road, Suite 103, Cape Coral, FL 33991 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-11 |
| ANNUAL REPORT | 2023-01-10 |
| ANNUAL REPORT | 2022-04-21 |
| AMENDED ANNUAL REPORT | 2021-04-01 |
| ANNUAL REPORT | 2021-01-04 |
| AMENDED ANNUAL REPORT | 2020-06-17 |
| ANNUAL REPORT | 2020-01-02 |
| Florida Limited Liability | 2019-11-14 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
