| Entity Name: | MBCO DENTAL, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Dec 2019 (5 years ago) |
| Document Number: | L20000025635 |
| FEI/EIN Number | 84-4057236 |
| Address: | 1740 US Hwy 27, Store 28, Clermont, FL, 34714, US |
| Mail Address: | 1740 US Highway 27, Store 28, Clermont, FL, 34714, US |
| ZIP code: | 34714 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922835461 | 2024-09-18 | 2024-09-18 | 1740 US HIGHWAY 27, STORE #28, CLERMONT, FL, 34714, US | 1740 US HIGHWAY 27, STORE #28, CLERMONT, FL, 34714, US | |||||||||||||
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| Phone | +1 352-269-1400 |
Authorized person
| Name | CHRISTIAN ORTIZ |
| Role | OWNER/DENTIST |
| Phone | 3522691400 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BUECHELE MANFRED | Agent | 2960 Parkland Dr, Winter Park, FL, 32789 |
| Name | Role | Address |
|---|---|---|
| BUECHELE MANFRED | Manager | 12344 ROPER BLVD, CLERMONT, FL, 347114300 |
| Name | Role | Address |
|---|---|---|
| ORTIZ CHRISTIAN | Authorized Member | 1337 SHINNECOCK HILLS DR, CHAMPIONS GATE, FL, 33896 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-07 | 1740 US Hwy 27, Store 28, Clermont, FL 34714 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-07 | 1740 US Hwy 27, Store 28, Clermont, FL 34714 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-27 | 2960 Parkland Dr, Winter Park, FL 32789 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-05 |
| ANNUAL REPORT | 2024-01-11 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-01-12 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-03-20 |
| Florida Limited Liability | 2019-12-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
