| Entity Name: | GENTLE CARE DENTISTRY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Oct 2002 (22 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P02000113352 |
| FEI/EIN Number | 550802711 |
| Address: | 400 E MERRITT AVENUE, B, MERRITT ISLAND, FL, 32953 |
| Mail Address: | 400 E MERRITT AVENUE, B, MERRITT ISLAND, FL, 32953 |
| ZIP code: | 32953 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336287812 | 2007-02-05 | 2020-08-22 | 400 E MERRITT AVE, SUITE B, MERRITT ISLAND, FL, 329533434, US | 400 E MERRITT AVE, SUITE B, MERRITT ISLAND, FL, 329533434, US | |||||||||||||||||||||||||
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| Phone | +1 321-453-7047 |
| Fax | 3214534449 |
Authorized person
| Name | DR. CHARLES W. CHURCH |
| Role | OWNER |
| Phone | 3214537047 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN-4541 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE OF FL BOARD OF DENT |
| Number | DN-4541 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Caballero Mario JDMD | Agent | 155 S Court Avenue, Orlando, FL, 32801 |
| Name | Role | Address |
|---|---|---|
| Caballero Mario JDMD | President | 400 E. Merritt Avenue, Merritt Island, FL, 32952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-02-01 | 155 S Court Avenue, Unit 1902, Orlando, FL 32801 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-02-01 | Caballero, Mario J, DMD | No data |
| REINSTATEMENT | 2016-12-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| AMENDMENT | 2014-04-22 | No data | No data |
| REINSTATEMENT | 2010-09-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CANCEL ADM DISS/REV | 2009-10-13 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-02-22 |
| ANNUAL REPORT | 2021-02-06 |
| ANNUAL REPORT | 2020-02-01 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-29 |
| ANNUAL REPORT | 2017-01-31 |
| REINSTATEMENT | 2016-12-12 |
| ANNUAL REPORT | 2015-04-09 |
| Amendment | 2014-04-22 |
| ANNUAL REPORT | 2014-04-09 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5506388609 | 2021-03-20 | 0455 | PPS | 400 E Merritt Ave Ste B, Merritt Island, FL, 32953-3434 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2765967709 | 2020-05-01 | 0455 | PPP | 400 E MERRITT AVE STE B, MERRITT ISLAND, FL, 32953 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State
