| Entity Name: | LAKE WORTH FAMILY DENTISTRY, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
LAKE WORTH FAMILY DENTISTRY, PA 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 28 Aug 2008 (17 years ago) |
| Date of dissolution: | 24 Sep 2021 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (4 years ago) |
| Document Number: | P08000080034 |
| FEI/EIN Number |
263265947
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 11897 Preservation Lane, Boca Raton, FL, 33498, US |
| Address: | 6427 LAKE WORTH RD, GREENACRES, FL, 33463 |
| ZIP code: | 33463 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689824153 | 2008-09-22 | 2008-09-22 | 10800 AVENIDA DEL RIO, DELRAY BEACH, FL, 334462444, US | 6427 LAKE WORTH RD STE 102, GREENACRES, FL, 334632900, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 561-649-6446 |
Authorized person
| Name | DR. ILYA STEIN |
| Role | PRESIDENT |
| Phone | 5555555555 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN14972 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 070167000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| STEIN ILYA D | President | 6427 LAKE WORTH RD, GREENACRES, FL, 33463 |
| STEIN ILYA D | Agent | 6427 LAKE WORTH RD, GREENACRES, FL, 33463 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| CHANGE OF MAILING ADDRESS | 2016-01-22 | 6427 LAKE WORTH RD, GREENACRES, FL 33463 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2010-01-11 | 6427 LAKE WORTH RD, GREENACRES, FL 33463 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2010-01-11 | 6427 LAKE WORTH RD, GREENACRES, FL 33463 | - |
| REGISTERED AGENT NAME CHANGED | 2009-01-16 | STEIN, ILYA DMD | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J22000477648 | TERMINATED | 1000000934087 | PALM BEACH | 2022-09-23 | 2032-10-12 | $ 1,096.25 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-03-26 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-01-12 |
| ANNUAL REPORT | 2014-01-12 |
| ANNUAL REPORT | 2013-01-24 |
| ANNUAL REPORT | 2012-01-07 |
| ANNUAL REPORT | 2011-01-07 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5478177306 | 2020-04-30 | 0455 | PPP | 6427 Lake Worth Dr,, Greenacres, FL, 33463 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 02 Apr 2025
Sources: Florida Department of State
