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  5. BLANCO JAMIS DENTAL GROUP, P.A.

BLANCO JAMIS DENTAL GROUP, P.A. - Florida Company Profile

Company Details

Entity Name: BLANCO JAMIS DENTAL GROUP, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

BLANCO JAMIS DENTAL GROUP, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 13 Aug 2002 (23 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 06 Oct 2007 (18 years ago)
Document Number: P02000087496
FEI/EIN Number 820559056

Federal Employer Identification (FEI) Number assigned by the IRS.
Mail Address: P.O. BOX 440308, MIAMI, FL, 33144, US
Address: 5701 SW 107TH AVE, MIAMI, FL, 33173, US
ZIP code: 33173
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265780704 2012-08-15 2021-11-17 PO BOX 440308, MIAMI, FL, 331440308, US 5701 SW 107TH AVE STE 101, MIAMI, FL, 331731276, US

Contacts
Phone +1 305-262-4604
Fax 3052398999

Authorized person
Name DR. JORGE L BLANCO
Role PRESIDENT
Phone 3052624604

Taxonomy
Taxonomy Code 1223G0001X - General Practice Dentistry
License Number DN 16115
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 1609046960
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLANCO JAMIS DENTAL GROUP P.A. 401(K) PROFIT SHARING PLAN 2023 820559056 2024-02-23 BLANCO JAMIS DENTAL GROUP P.A. 80
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 7864640984
Plan sponsor’s address 5701 SW 107TH AVENUE, MIAMI, FL, 33155
BLANCO JAMIS DENTAL GROUP P.A. 401(K) PROFIT SHARING PLAN 2022 820559056 2023-11-09 BLANCO JAMIS DENTAL GROUP P.A. 74
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 7864640984
Plan sponsor’s address 5701 SW 107TH AVENUE, MIAMI, FL, 33155
BLANCO JAMIS DENTAL GROUP P.A. 401(K) PROFIT SHARING PLAN 2021 820559056 2023-08-17 BLANCO JAMIS DENTAL GROUP P.A. 74
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 7864640984
Plan sponsor’s address 5701 SW 107TH AVENUE, MIAMI, FL, 33155
BLANCO JAMIS DENTAL GROUP P.A. 401(K) PROFIT SHARING PLAN 2021 820559056 2023-02-14 BLANCO JAMIS DENTAL GROUP P.A. 74
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 7864640984
Plan sponsor’s address 5701 SW 107TH AVENUE, MIAMI, FL, 33155
BLANCO JAMIS DENTAL GROUP P.A. 401(K) PROFIT SHARING PLAN 2020 820559056 2021-10-09 BLANCO JAMIS DENTAL GROUP P.A. 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 7864640984
Plan sponsor’s address 5701 SW 107TH AVENUE, MIAMI, FL, 33155
BLANCO JAMIS DENTAL GROUP P.A. 401(K) PROFIT SHARING PLAN 2019 820559056 2020-10-15 BLANCO JAMIS DENTAL GROUP P.A. 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 7864640984
Plan sponsor’s address 5701 SW 107TH AVENUE, MIAMI, FL, 33155
BLANCO JAMIS DENTAL GROUP P. A. 401(K) PROFIT SHARING PLAN 2018 820559056 2019-10-15 BLANCO JAMIS DENTAL GROUP P.A. 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 7864640984
Plan sponsor’s address 5701 SW 107TH AVENUE, MIAMI, FL, 33155
BLANCO JAMIS DENTAL GROUP P. A. 401(K) PROFIT SHARING PLAN 2017 820559056 2019-10-04 BLANCO JAMIS DENTAL GROUP P.A. 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 7864640984
Plan sponsor’s address 5701 SW 107TH AVE., MIAMI, FL, 33155

Signature of
Role Plan administrator
Date 2019-10-04
Name of individual signing DR. JORGE BLANCO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-04
Name of individual signing DR. JORGE BLANCO
Valid signature Filed with authorized/valid electronic signature
BLANCO JAMIS DENTAL GROUP P. A. 401(K) PROFIT SHARING PLAN 2016 820559056 2018-12-10 BLANCO JAMIS DENTAL GROUP P.A. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 7864640984
Plan sponsor’s address 7801 CORAL WAY #100, MIAMI, FL, 33185

Signature of
Role Plan administrator
Date 2018-12-10
Name of individual signing DR. JORGE BLANCO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-12-10
Name of individual signing DR. JORGE BLANCO
Valid signature Filed with authorized/valid electronic signature
BLANCO JAMIS DENTAL GROUP P. A. 401(K) PROFIT SHARING PLAN 2015 820559056 2016-11-10 BLANCO JAMIS DENTAL GROUP P.A. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 7864640984
Plan sponsor’s address 7801 CORAL WAY #100, MIAMI, FL, 33185

Signature of
Role Plan administrator
Date 2016-11-10
Name of individual signing DR. JORGE BLANCO
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
BLANCO JORGE L President PO BOX 440308, MIAMI, FL, 33144
JAMIS RAUDA Vice President PO BOX 440308, MIAMI, FL, 33144
TOMAS GONZALEZ LAW, P.A. Agent -

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-04-25 TOMAS GONZALEZ LAW, P.A. -
REGISTERED AGENT ADDRESS CHANGED 2023-04-25 8181 NW 154TH STREET, STE 204, MIAMI LAKES, FL 33016 -
CHANGE OF PRINCIPAL ADDRESS 2021-02-05 5701 SW 107TH AVE, STE 101, MIAMI, FL 33173 -
CHANGE OF MAILING ADDRESS 2019-04-30 5701 SW 107TH AVE, STE 101, MIAMI, FL 33173 -
CANCEL ADM DISS/REV 2007-10-06 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 - -
CANCEL ADM DISS/REV 2005-02-28 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 - -

Documents

Name Date
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-04-25
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-02-05
ANNUAL REPORT 2020-06-29
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-20
ANNUAL REPORT 2017-04-29
ANNUAL REPORT 2016-04-30
ANNUAL REPORT 2015-04-29

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Companies related by address

P.O. BOX 440308, MIAMI, FL, 33144, US

COMPLETE DENTAL PLAN LLC COMPLETE DENTAL LAB LLC TOTAL DENTAL CARE OF FLORIDA LLC UNLIMITED DENTAL SERVICES LLC COMPLETE DENTAL SOLUTIONS CORP COMPLETE HEALTHCARE SUPPLY COMPANY INC BLANCO JAMIS PROFESSIONAL BUILDING II LLC TOTAL DENTAL PLAN LLC BLANCO JAMIS PROPERTIES LLC

5701 SW 107TH AVE, MIAMI, FL, 33173, US

COMPLETE DENTAL PLAN LLC TOTAL DENTAL CARE OF FLORIDA LLC COMPLETE DENTAL SOLUTIONS CORP

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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