| Entity Name: | CORAL SPRINGS DENTAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 29 Jun 2020 (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: | L20000183016 |
| FEI/EIN Number | NOT APPLICABLE |
| Mail Address: | 4765 W ATLANTIC AVE, DELRAY BEACH, FL, 33445 |
| Address: | 2029 N. UNIVERSITY DRIVE, CORAL SPRINGS, FL, 33071 |
| ZIP code: | 33071 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073110177 | 2020-10-02 | 2020-10-02 | 4765 W ATLANTIC AVE, DELRAY BEACH, FL, 334453838, US | 2029 N UNIVERSITY DR, CORAL SPRINGS, FL, 330716132, US | |||||||||||||||||||
|
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| Phone | +1 954-718-3384 |
| Fax | 5614312468 |
| Phone | +1 954-787-1000 |
| Fax | 5614132468 |
Authorized person
| Name | INGRID J ROMERO |
| Role | MANAGER |
| Phone | 5614851000 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KIRSHBAUM RANDY I | Agent | 4765 W. ATLANTIC AVE, DELRAY BEACH, FL, 33445 |
| Name | Role | Address |
|---|---|---|
| SAMUELSON VICTORIA | Manager | 4765 W. ATLANTIC AVE, DELRAY BEACH, FL, 33445 |
| KIRSHBAUM RANDY | Manager | 4765 W. ATLANTIC AVE, DELRAY BEACH, FL, 33445 |
| 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 |
| 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 |
| Florida Limited Liability | 2020-06-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
