| Entity Name: | IDEAL DENTAL OF OSCEOLA PARKWAY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Dec 2020 (4 years ago) |
| Document Number: | L20000396139 |
| FEI/EIN Number | 86-1380995 |
| Address: | 2713 W. Osceola Parkway, Kissimmee, FL 34741 |
| Mail Address: | 12750 MERIT DRIVE, STE 1100, DALLAS, TX 75251 |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881285476 | 2021-01-27 | 2023-05-24 | PO BOX 840925, DALLAS, TX, 752840925, US | 2713 W OSCEOLA PARKWAY, KISSIMMEE, FL, 34741, US | |||||||||||||||||
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| Phone | +1 972-361-0600 |
| Phone | +1 407-209-3010 |
| Fax | 3216777507 |
Authorized person
| Name | MATTHEW DOAN |
| Role | OWNER |
| Phone | 9723318079 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NRAI SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| DOAN, MATTHEW, DDS | Member | 8120 COPPER WAY, DALLAS, TX 75252 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000065004 | IDEAL DENTAL OF KISSIMMEE | ACTIVE | 2021-05-12 | 2026-12-31 | No data | 12770 MERIT DR., SUITE 850, DALLAS, TX, 75251 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-05 | 2713 W. Osceola Parkway, Kissimmee, FL 34741 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-05 | 2713 W. Osceola Parkway, Kissimmee, FL 34741 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-05-11 |
| Florida Limited Liability | 2020-12-28 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
