| Entity Name: | LAKE WALES DENTAL ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 20 Jan 2005 (20 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P05000010252 |
| FEI/EIN Number | 202221593 |
| Address: | 23871 NORTH U.S. HIGHWAY 27, LAKE WALES, FL, 33859 |
| Mail Address: | 23871 NORTH U.S. HIGHWAY 27, LAKE WALES, FL, 33859 |
| ZIP code: | 33859 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942384961 | 2006-10-25 | 2007-08-30 | 23871 HWY 27, LAKE WALES, FL, 338597811, US | 23871 HWY 27, LAKE WALES, FL, 338597811, US | |||||||||||||||||||
|
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| Phone | +1 863-678-3177 |
| Fax | 8636783188 |
Authorized person
| Name | DAVID E JUNCA |
| Role | PRESIDENT |
| Phone | 8636783177 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN11827 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JUNCA DAVID E | Agent | 8808 ABBEY LEAF LN, ORLANDO, FL, 32827 |
| Name | Role | Address |
|---|---|---|
| JUNCA DAVID E | President | 8808 ABBEY LEAF LN, ORLANDO, FL, 32827 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-28 | 8808 ABBEY LEAF LN, ORLANDO, FL 32827 | No data |
| REGISTERED AGENT NAME CHANGED | 2007-07-19 | JUNCA, DAVID EDDS | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-02-07 | 23871 NORTH U.S. HIGHWAY 27, LAKE WALES, FL 33859 | No data |
| CHANGE OF MAILING ADDRESS | 2006-02-07 | 23871 NORTH U.S. HIGHWAY 27, LAKE WALES, FL 33859 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-20 |
| ANNUAL REPORT | 2017-01-21 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-02-09 |
| ANNUAL REPORT | 2014-04-26 |
| ANNUAL REPORT | 2013-04-09 |
| ANNUAL REPORT | 2012-05-01 |
| ANNUAL REPORT | 2011-04-28 |
| ANNUAL REPORT | 2010-05-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
