| Entity Name: | AFFORDABLE DENTURES-WEST MELBOURNE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 27 Oct 2006 (18 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P06000136966 |
| FEI/EIN Number | 20-5717391 |
| Mail Address: | PO BOX 1042, KINSTON, NC 28503 |
| Address: | 1529 W. NEW HAVEN AVENUE, WEST MELBOURNE, FL 32904 |
| ZIP code: | 32904 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881146686 | 2016-10-27 | 2016-10-27 | 1529 W NEW HAVEN AVE, WEST MELBOURNE, FL, 329043927, US | 1529 W NEW HAVEN AVE, WEST MELBOURNE, FL, 329043927, US | |||||||||||||||||||
|
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| Phone | +1 321-725-6570 |
| Fax | 3217256599 |
Authorized person
| Name | TIMOTHY LUONG |
| Role | PRACTICE OWNER |
| Phone | 3217256570 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN15694 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NATIONAL REGISTERED AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Luong, Timothy | President | 1529 W. NEW HAVEN AVENUE, WEST MELBOURNE, FL 32904 |
| Name | Role | Address |
|---|---|---|
| Luong, Timothy | Director | 1529 W. NEW HAVEN AVENUE, WEST MELBOURNE, FL 32904 |
| Name | Role | Address |
|---|---|---|
| STEELMAN, PAUL | Treasurer | 1400 INDUSTRIAL DRIVE, KINSTON, NC 28504 |
| Name | Role | Address |
|---|---|---|
| STEELMAN, PAUL | Asst. Secretary | 1400 INDUSTRIAL DRIVE, KINSTON, NC 28504 |
| MILLER, KATHY | Asst. Secretary | 5430 Wade Park Blvd., Suite 310, RALEIGH, NC 27607 |
| Rodriguez-LEBRON, ANNETTE | Asst. Secretary | 1400 INDUSTRIAL DRIVE, KINSTON, NC 28504 |
| Ammons, Randal G. | Asst. Secretary | 5430 Wade Park Blvd., Suite 310, Raleigh, NC 27607 |
| Name | Role | Address |
|---|---|---|
| SLEZAK, DAVID | Secretary | 5430 Wade Park Blvd., Suite 310, Raleigh, NC 27607 |
| Name | Role | Address |
|---|---|---|
| SLEZAK, DAVID | Asst. Treasurer | 5430 Wade Park Blvd., Suite 310, Raleigh, NC 27607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-04-23 | National Registered Agents, Inc. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-02-11 | 1200 South Pine Island Road, Plantation, FL 33324 | No data |
| CHANGE OF MAILING ADDRESS | 2008-07-10 | 1529 W. NEW HAVEN AVENUE, WEST MELBOURNE, FL 32904 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-15 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-19 |
| AMENDED ANNUAL REPORT | 2015-09-01 |
| ANNUAL REPORT | 2015-04-23 |
| ANNUAL REPORT | 2014-03-31 |
| ANNUAL REPORT | 2013-04-09 |
| ANNUAL REPORT | 2012-07-17 |
| ANNUAL REPORT | 2012-04-05 |
| ANNUAL REPORT | 2011-01-06 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
