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LIVE IMPLANTS CORP

Company Details

Entity Name: LIVE IMPLANTS CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 10 Mar 2011 (14 years ago)
Last Event: AMENDMENT
Event Date Filed: 16 Feb 2015 (10 years ago)
Document Number: P11000023979
FEI/EIN Number 451743400
Address: 914 W. EMMETT ST., KISSIMMEE, FL, 34741, US
Mail Address: 914 W EMMETT ST, KISSIMMEE, FL, 34741, US
ZIP code: 34741
County: Osceola
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033780895 2021-07-02 2021-07-02 18001 OLD CUTLER RD STE 405, PALMETTO BAY, FL, 331576434, US 18001 OLD CUTLER RD STE 405, PALMETTO BAY, FL, 331576434, US

Contacts

Phone +1 786-249-4514

Authorized person

Name VIRGILIO J MONGALO
Role DOCTOR
Phone 7862494514

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary No
Taxonomy Code 261QS0112X - Oral and Maxillofacial Surgery Clinic/Center
Is Primary Yes

Agent

Name Role Address
MONGALO VIRGILIO Agent 914 W EMMETT ST, KISSIMMEE, FL, 34741

President

Name Role Address
MONGALO VIRGILIO President 914 W EMMETT ST, KISSIMMEE, FL, 34741

Vice President

Name Role Address
PALLAIS JANINE Vice President 914 W EMMETT ST, KISSIMMEE, FL, 34741

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-30 914 W. EMMETT ST., KISSIMMEE, FL 34741 No data
CHANGE OF MAILING ADDRESS 2023-04-30 914 W. EMMETT ST., KISSIMMEE, FL 34741 No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-30 914 W EMMETT ST, KISSIMMEE, FL 34741 No data
REGISTERED AGENT NAME CHANGED 2015-04-30 MONGALO, VIRGILIO No data
AMENDMENT 2015-02-16 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-30
ANNUAL REPORT 2022-03-31
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-03-27
ANNUAL REPORT 2019-05-01
ANNUAL REPORT 2018-05-01
ANNUAL REPORT 2017-04-20
ANNUAL REPORT 2016-04-28
ANNUAL REPORT 2015-04-30

Date of last update: 03 Feb 2025

Sources: Florida Department of State