| Entity Name: | GRACE DENTAL , P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 07 Feb 2013 (12 years ago) |
| Document Number: | P13000013092 |
| FEI/EIN Number | 30-0765774 |
| Address: | 5979 VINELAND ROAD SUITE 205, ORLANDO, FL, 32819 |
| Mail Address: | 5979 VINELAND ROAD SUITE 205, ORLANDO, FL, 32819 |
| ZIP code: | 32819 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699110783 | 2013-05-03 | 2013-05-03 | 5979 VINELAND RD, SUITE 205, ORLANDO, FL, 328197800, US | 5979 VINELAND RD, SUITE 205, ORLANDO, FL, 328197800, US | |||||||||||||||||
|
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| Phone | +1 407-351-3213 |
Authorized person
| Name | DR. GABRIEL SANGALANG |
| Role | PRESIDENT |
| Phone | 3128413414 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | DN19152 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SANGALANG GABRIEL | Agent | 5979 VINELAND ROAD SUITE 205, ORLANDO, FL, 32819 |
| Name | Role | Address |
|---|---|---|
| SANGALANG GABRIEL J | Director | 5979 VINELAND ROAD SUITE 205, ORLANDO, FL, 32819 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000058386 | WATSON DENTAL CARE | EXPIRED | 2013-06-11 | 2018-12-31 | No data | 5979 VINELAND ROAD, SUITE 205, ORLANDO, FL, 32819 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2013-05-13 | SANGALANG, GABRIEL | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-05-13 | 5979 VINELAND ROAD SUITE 205, ORLANDO, FL 32819 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-05-08 | 5979 VINELAND ROAD SUITE 205, ORLANDO, FL 32819 | No data |
| CHANGE OF MAILING ADDRESS | 2013-05-08 | 5979 VINELAND ROAD SUITE 205, ORLANDO, FL 32819 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-07-12 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-06-19 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-02-10 |
| ANNUAL REPORT | 2015-01-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
