| Entity Name: | IDEAL DENTAL - WINTER PARK PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Jul 2021 (3 years ago) |
| Document Number: | L21000343561 |
| FEI/EIN Number | 87-2276402 |
| Mail Address: | 12750 Merit Dr. Suite 1100, Dallas, TX 75251 |
| Address: | 325 SOUTH ORLANDO AVENUE, WINTER PARK, FL 32789 |
| ZIP code: | 32789 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013689678 | 2021-10-01 | 2023-05-19 | PO BOX 840925, DALLAS, TX, 752840925, US | 415 S ORLANDO AVE STE 212, WINTER PARK, FL, 327893683, US | |||||||||||||||||
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| Phone | +1 972-361-0600 |
| Phone | +1 407-279-4000 |
| Fax | 4077944050 |
Authorized person
| Name | MATTHEW DOAN |
| Role | OWNER |
| Phone | 9723318079 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| DOAN, MATTHEW, DDS | Member | 8120 COPPER WAY, DALLAS, TX 75252 |
| COUSSA, JOSHUA, DMD | Member | 8235 W ATLANTIC BLVD, CORAL SPRINGS, FL 33071 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-01-29 | 325 SOUTH ORLANDO AVENUE, WINTER PARK, FL 32789 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-03-24 |
| Florida Limited Liability | 2021-07-28 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
