| Entity Name: | ADVANCED DENTISTRY S. FLORIDA, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 01 Jul 2022 (3 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 25 Apr 2024 (10 months ago) |
| Document Number: | L22000295583 |
| FEI/EIN Number | 88-3095340 |
| Mail Address: | 6240 LAKE OSPREY DRIVE, SARASOTA, FL 34240 |
| Address: | 15340 JOG ROAD, SUITE 100, DELRAY BEACH, FL 33446 |
| ZIP code: | 33446 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306556113 | 2022-12-02 | 2022-12-02 | 15340 S JOG RD STE 100, DELRAY BEACH, FL, 334462170, US | 15340 S JOG RD STE 100, DELRAY BEACH, FL, 334462170, US | |||||||||||||
|
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| Phone | +1 561-495-2099 |
Authorized person
| Name | MIKE COLE |
| Role | VP INSURANCE PLAN MANAGEMENT |
| Phone | 7274242990 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| DONALD A. GALLO, D.M.D. | Manager | 15340 JOG ROAD, SUITE 100, DELRAY BEACH, FL 33446 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT OF RA/RO CHG | 2024-04-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-04-25 | C T CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-25 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| REINSTATEMENT | 2024-01-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| CORLCRACHG | 2024-04-25 |
| REINSTATEMENT | 2024-01-24 |
| Florida Limited Liability | 2022-07-01 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
