Entity Name: | GENTLE DENTAL CARE, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 02 Oct 1984 (40 years ago) |
Document Number: | M05867 |
FEI/EIN Number | 591310081 |
Address: | 809 NE 4TH AVE., HOMESTEAD, FL, 33030 |
Mail Address: | 809 NE 4TH AVE., HOMESTEAD, FL, 33030 |
ZIP code: | 33030 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1508907361 | 2007-02-12 | 2011-12-05 | 9316 US HIGHWAY 19, PORT RICHEY, FL, 346684772, US | 9316 US HIGHWAY 19, PORT RICHEY, FL, 346684772, US | |||||||||||||||||||||||||||
|
Phone | +1 727-849-6838 |
Fax | 7278427081 |
Authorized person
Name | DR. CHAIM HYMAN |
Role | DENTIST |
Phone | 7278496838 |
Taxonomy
Taxonomy Code | 1223G0001X - General Practice Dentistry |
License Number | DN16925 |
State | FL |
Is Primary | Yes |
Taxonomy Code | 1223G0001X - General Practice Dentistry |
License Number | DN16366 |
State | FL |
Is Primary | No |
Name | Role | Address |
---|---|---|
TAKESHITA, RICHARD | Agent | 809 NE 4TH AVE., HOMESTEAD, FL, 33030 |
Name | Role | Address |
---|---|---|
TAKESHITA, RICHARD T. | President | 809 NE 4TH AVE, HOMESTEAD, FL, 33030 |
Name | Role | Address |
---|---|---|
TAKESHITA, RICHARD T. | Director | 809 NE 4TH AVE, HOMESTEAD, FL, 33030 |
TAKESHITA, SANDRA | Director | 809 NE 4TH AVE, HOMESTEAD, FL, 33030 |
Name | Role | Address |
---|---|---|
TAKESHITA, SANDRA | Secretary | 809 NE 4TH AVE, HOMESTEAD, FL, 33030 |
Name | Role | Address |
---|---|---|
TAKESHITA, SANDRA | Treasurer | 809 NE 4TH AVE, HOMESTEAD, FL, 33030 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State