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FL DENTAL GROUP, LLC - Florida Company Profile

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Company Details

Entity Name: FL DENTAL GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

FL DENTAL GROUP, LLC 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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: 16 Jun 2021 (4 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 24 Apr 2024 (a year ago)
Document Number: L21000280735
FEI/EIN Number 87-1305432

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 4765 W ATLANTIC AVENUE, DELRAY BEACH, FL, 33445
Mail Address: 4765 W ATLANTIC AVENUE, DELRAY BEACH, FL, 33445
ZIP code: 33445
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SAMUELSON VICTORIA Manager 4765 W ATLANTIC AVENUE, DELRAY BEACH, FL, 33445
KIRSHBAUM RANDY Manager 4765 W ATLANTIC AVENUE, DELRAY BEACH, FL, 33445
C T CORPORATION SYSTEM Agent -

National Provider Identifier

NPI Number:
1750951299
Certification Date:
2023-07-10

Authorized Person:

Name:
MS. VICTORIA SAMUELSON
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
1223P0300X - Periodontist
Is Primary:
No
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
9543746955

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000104778 DELRAY DENTAL GROUP ACTIVE 2021-08-12 2026-12-31 - 4765 W ATLANTIC AVENUE, DELRAY BEACH, FL, 33445
G21000104780 HALLANDALE DENTAL GROUP ACTIVE 2021-08-12 2026-12-31 - 4765 W ATLANTIC AVENUE, DELRAY BEACH, FL, 33445
G21000102905 CORAL SPRINGS DENTAL GROUP ACTIVE 2021-08-07 2026-12-31 - 4765 W ATLANTIC AVENUE, DELRAY BEACH, FL, 33445

Events

Event Type Filed Date Value Description
LC STMNT OF RA/RO CHG 2024-04-24 - -
REGISTERED AGENT NAME CHANGED 2024-04-24 C T CORPORATION SYSTEM -
REGISTERED AGENT ADDRESS CHANGED 2024-04-24 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 -

Documents

Name Date
ANNUAL REPORT 2024-03-14
ANNUAL REPORT 2023-03-07
AMENDED ANNUAL REPORT 2022-08-25
AMENDED ANNUAL REPORT 2022-08-17
ANNUAL REPORT 2022-07-13
Florida Limited Liability 2021-06-16

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Date of last update: 02 Jun 2025

Sources: Florida Department of State