| Entity Name: | JP COSMETIC DENTISTRY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Nov 2003 (21 years ago) |
| Last Event: | AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 05 May 2006 (19 years ago) |
| Document Number: | P03000141979 |
| FEI/EIN Number | 562425750 |
| Address: | 1900 W Colonial Drive, ORLANDO, FL, 32804, US |
| Mail Address: | 1900 W Colonial Drive, ORLANDO, FL, 32804, US |
| ZIP code: | 32804 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275873580 | 2013-02-22 | 2013-02-22 | 1201 WINTER GARDEN VINELAND RD STE 10, WINTER GARDEN, FL, 347874380, US | 1201 WINTER GARDEN VINELAND RD STE 10, WINTER GARDEN, FL, 347874380, US | |||||||||||||||||||||||
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| Phone | +1 407-295-0444 |
Authorized person
| Name | NICOULY PIERRE JEAN-PHILIPPE |
| Role | PA/OWNER |
| Phone | 4072950444 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | 16098 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 006593500 |
| State | FL |
| Name | Role |
|---|---|
| THORPE'S CONSULTING SYSTEMS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| JEAN PHILIPPE NICOULY P | President | 1900 W COLONIAL DRIVE, ORLANDO, FL, 32804 |
| Name | Role | Address |
|---|---|---|
| JEAN PHILIPPE NICOULY P | Director | 1900 W COLONIAL DRIVE, ORLANDO, FL, 32804 |
| Name | Role | Address |
|---|---|---|
| JEAN PHILIPPE NICOULY P | Secretary | 1900 W COLONIAL DRIVE, ORLANDO, FL, 32804 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-27 | 7345 W SAND LAKE RD., STE 306, ORLANDO, FL 32819 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-27 | 1900 W Colonial Drive, ORLANDO, FL 32804 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-27 | 1900 W Colonial Drive, ORLANDO, FL 32804 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-04-30 | THORPE'S CONSULTING SYSTEMS, INC | No data |
| AMENDMENT AND NAME CHANGE | 2006-05-05 | JP COSMETIC DENTISTRY, INC. | No data |
| CANCEL ADM DISS/REV | 2006-02-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000173792 | LAPSED | 2010-CC-013872-O | CIVIL DIV. ORANGE COUNTY | 2012-01-24 | 2017-03-12 | $14,382.08 | SM CONSTRUCTION, LLC, 1557 LAKE WHITNEY DRIVE, WINDERMERE, FL 34786 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-04-01 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-06-24 |
| ANNUAL REPORT | 2019-04-27 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-03-02 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3388468804 | 2021-04-14 | 0491 | PPP | 1900 W Colonial Dr, Orlando, FL, 32804-7014 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Feb 2025
Sources: Florida Department of State
