| Entity Name: | FACIAL ORTHOPEDICS INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 22 Mar 2012 (13 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P12000028175 |
| Address: | 1922 GULFSTREAM WAY, BREAKERS WEST, WEST PALM BEACH, FL, 33411 |
| Mail Address: | 1922 GULFSTREAM WAY, BREAKERS WEST, WEST PALM BEACH, FL, 33411 |
| ZIP code: | 33411 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801139118 | 2013-04-04 | 2013-04-04 | 951 SANSBURYS WAY, SUITE 201, WEST PALM BEACH, FL, 334113619, US | 951 SANSBURYS WAY, SUITE 201, WEST PALM BEACH, FL, 334113619, US | |||||||||||||||||||||||
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| Phone | +1 561-215-1603 |
Authorized person
| Name | DR. NILSA H TOLEDO |
| Role | DENTAL DIRECTOR |
| Phone | 5612151603 |
Taxonomy
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| License Number | DN17401 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 75797701 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TOLEDO NILSA H | Agent | 1922 GULFSTREAM WAY, WEST PALM BEACH, FL, 33411 |
| Name | Role | Address |
|---|---|---|
| TOLEDO NILSA H | President | 1922 GULFSTREAM WAY, WEST PALM BEACH, FL, 33411 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2012-03-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
