| Entity Name: | FIRST CHOICE DENTAL IMPLANT CENTERS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Sep 2021 (3 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 03 Nov 2024 (3 months ago) |
| Document Number: | L21000416970 |
| FEI/EIN Number | 87-3896330 |
| Address: | 9101 SW 24TH ST, STE 102, MIAMI, FL, 33165, US |
| Mail Address: | 9101 SW 24TH ST, STE 102, MIAMI, FL, 33165, US |
| ZIP code: | 33165 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770263667 | 2023-07-24 | 2023-07-24 | 9101 SW 24TH ST STE 102, MIAMI, FL, 331652083, US | 9101 SW 24TH ST STE 102, MIAMI, FL, 331652083, US | |||||||||||||||||||||
|
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| Phone | +1 305-850-6687 |
| Fax | 7866778963 |
Authorized person
| Name | DR. NICHOLAS ANDRES CASTELLANOS |
| Role | PRESIDENT |
| Phone | 3055865852 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | DN23886 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VICTOR SAIZARBITORIA | Agent | 21 SOUTHWEST 15TH ROAD, SUITE 200, MIAMI, FL, 33129 |
| Name | Role | Address |
|---|---|---|
| NICHOLAS CASTELLANOS | Manager | 9101 SW 24TH ST, MIAMI, FL, 33165 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000022527 | MEDSQUARE DENTAL | ACTIVE | 2023-02-16 | 2028-12-31 | No data | 9101 SW 24TH STREET, SUITE 102, MIAMI, FL, 33165 |
| G23000000653 | FLORIDIAN DENTAL CENTER | ACTIVE | 2023-01-03 | 2028-12-31 | No data | 9101 SW 24TH STREET, SUITE 102, MIAMI, FL, 33165 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-11-03 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-08-04 | 9101 SW 24TH ST, STE 102, MIAMI, FL 33165 | No data |
| CHANGE OF MAILING ADDRESS | 2023-08-04 | 9101 SW 24TH ST, STE 102, MIAMI, FL 33165 | No data |
| REINSTATEMENT | 2022-12-20 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-12-20 | VICTOR SAIZARBITORIA | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-11-03 |
| AMENDED ANNUAL REPORT | 2023-08-04 |
| ANNUAL REPORT | 2023-06-21 |
| REINSTATEMENT | 2022-12-20 |
| Florida Limited Liability | 2021-09-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
