| Entity Name: | IDEAL DENTAL ST. CLOUD PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Nov 2022 (2 years ago) |
| Document Number: | L22000498700 |
| FEI/EIN Number | 92-1211329 |
| Address: | 2721 E. IRLO BRONSON MEMORIAL HIGHWAY, KISSIMMEE, FL, 34744, US |
| Mail Address: | 12750 Merit Dr. Suite 1100, Dallas, TX, 75251, US |
| ZIP code: | 34744 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477253730 | 2023-03-06 | 2023-05-19 | PO BOX 840925, DALLAS, TX, 752840925, US | 2721 E IRLO BRONSON MEMORIAL HWY, KISSIMMEE, FL, 347445602, US | |||||||||||||||
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| Phone | +1 972-361-0600 |
| Phone | +1 407-556-6113 |
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 | Authorized Member | 2721 E. IRLO BRONSON MEMORIAL HIGHWAY, KISSIMMEE, FL, 34744 |
| COUSSA JOSHUA DMD | Authorized Member | 2721 E. IRLO BRONSON MEMORIAL HIGHWAY, KISSIMMEE, FL, 34744 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-01-29 | 2721 E. IRLO BRONSON MEMORIAL HIGHWAY, KISSIMMEE, FL 34744 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-04-28 |
| Florida Limited Liability | 2022-11-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
