| Entity Name: | EXCLUSIVE DENTAL CARE GROUP OF MARGATE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 Jan 2016 (9 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | M16000000939 |
| FEI/EIN Number | 813120994 |
| Address: | 5404 W. ATLANTIC BLVD, MARGATE, FL, 33063, US |
| Mail Address: | 1724 N UNIVERSITY DR., PEMBROKE PINES, FL, 33024, US |
| ZIP code: | 33063 |
| County: | Broward |
| Place of Formation: | NEVADA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164977823 | 2016-08-23 | 2016-08-23 | 5404 W ATLANTIC BLVD, MARGATE, FL, 330635209, US | 5404 W ATLANTIC BLVD, MARGATE, FL, 330635209, US | |||||||||||||||||||||||||
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| Phone | +1 954-974-4400 |
| Fax | 9549744402 |
Authorized person
| Name | DR. CELIA FIGUEROA |
| Role | PRESIDENT |
| Phone | 9549744400 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN13937 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 076867700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FIGUEROA CELIA | Agent | 1724 N UNIVERSITY DR., PEMBROKE PINES, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| FIGUEROA CELIA | Manager | 1724 N UNIVERSITY DR., PEMBROKE PINES, FL, 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| LC DISSOCIATION MEM | 2016-08-29 | No data | No data |
| LC AMENDMENT AND NAME CHANGE | 2016-06-27 | EXCLUSIVE DENTAL CARE GROUP OF MARGATE, LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-06-27 | 5404 W. ATLANTIC BLVD, MARGATE, FL 33063 | No data |
| Name | Date |
|---|---|
| CORLCDSMEM | 2016-08-29 |
| LC Amendment and Name Change | 2016-06-27 |
| Foreign Limited | 2016-01-28 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
