| Entity Name: | SUMMIT PARK DENTAL, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 07 Jul 2009 (16 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: | P09000058589 |
| FEI/EIN Number | 27-0246489 |
| Mail Address: | 36800 WINFIELD COURT, GRAND ISLAND, FL 32735 |
| Address: | 723 CR 466, LADY LAKE, FL 32159 |
| ZIP code: | 32159 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053662395 | 2012-09-26 | 2012-09-26 | 440 CHINAHILL CT, APOPKA, FL, 32712, US | 723 CR 466, LADY LAKE, FL, 32159, US | |||||||||||||||||||
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| Phone | +1 352-430-0543 |
| Fax | 3524300702 |
Authorized person
| Name | PHUONG TA |
| Role | PRESIDENT / OWNER |
| Phone | 3522555538 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | ND14668 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TA, PHUONG D | Agent | 36800 WINFIELD COURT, GRAND ISLAND, FL 32735 |
| Name | Role | Address |
|---|---|---|
| TA, PHUONG D | Director | 36800 WINFIELD COURT, GRAND ISLAND, FL 32735 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2013-03-21 | 723 CR 466, LADY LAKE, FL 32159 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-03-21 | 36800 WINFIELD COURT, GRAND ISLAND, FL 32735 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-02-18 |
| ANNUAL REPORT | 2017-03-21 |
| ANNUAL REPORT | 2016-03-05 |
| ANNUAL REPORT | 2015-04-22 |
| ANNUAL REPORT | 2014-02-26 |
| ANNUAL REPORT | 2013-03-21 |
| ANNUAL REPORT | 2012-01-05 |
| ANNUAL REPORT | 2011-02-19 |
| ANNUAL REPORT | 2010-02-07 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
