| Entity Name: | ADVANCED DENTAL WELLNESS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Feb 2000 (25 years ago) |
| Document Number: | P00000012496 |
| FEI/EIN Number | 650978726 |
| Mail Address: | 6240 LAKE OSPREY DR., SARASOTA, FL, 34240 |
| Address: | 8701 MAITLAND SUMMIT BLVD, ORLANDO, FL, 32810 |
| ZIP code: | 32810 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558495408 | 2007-03-15 | 2020-08-22 | 8701 MAITLAND SUMMIT BLVD, ORLANDO, FL, 328105915, US | 8701 MAITLAND SUMMIT BLVD, ORLANDO, FL, 328105915, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 407-916-1600 |
Authorized person
| Name | MIKE COLE |
| Role | INSURANCE DIRECTOR |
| Phone | 7277261611 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALLEN RUSSELL | Agent | 6240 LAKE OSPREY DR., SARASOTA, FL, 34240 |
| Name | Role | Address |
|---|---|---|
| GALLO DONALD | Director | 6240 LAKE OSPREY DR., SARASOTA, FL, 34240 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000027002 | ADVANCED DENTAL CARE | EXPIRED | 2018-02-23 | 2023-12-31 | No data | 6240 LAKE OSPREY DRIVE, SARASOTA, FL, 34240 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REVOCATION OF VOLUNTARY DISSOLUT | 2023-05-20 | No data | No data |
| VOLUNTARY DISSOLUTION | 2023-01-24 | No data | No data |
| NAME CHANGE AMENDMENT | 2002-03-18 | ADVANCED DENTAL WELLNESS, P.A. | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
