Search icon

THE DENTIST AT THE VILLAGES, INC - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: THE DENTIST AT THE VILLAGES, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 06 Apr 2015 (10 years ago)
Date of dissolution: 23 Feb 2023 (2 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 23 Feb 2023 (2 years ago)
Document Number: P15000031408
FEI/EIN Number 47-3692638
Address: 307 LAGRANDE BLVD, LADY LAKE, FL, 32159, US
Mail Address: 307 LAGRANDE BLVD, LADY LAKE, FL, 32159, US
ZIP code: 32159
City: Lady Lake
County: Lake
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MEDINA CARLOS DMD President 307 LAGRANDE BLVD, LADY LAKE, FL, 32159
CARUSO STEVE Agent 486 N HARBOR CITY BLVD, MELBOURNE, FL, 32935

National Provider Identifier

NPI Number:
1760938005

Authorized Person:

Name:
DR. CARLOS MEDINA
Role:
OWNWE/DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
302F00000X - Exclusive Provider Organization
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2023-02-23 - -
REGISTERED AGENT NAME CHANGED 2022-03-11 CARUSO, STEVE -

Documents

Name Date
VOLUNTARY DISSOLUTION 2023-02-23
ANNUAL REPORT 2022-03-11
AMENDED ANNUAL REPORT 2021-11-16
ANNUAL REPORT 2021-03-29
ANNUAL REPORT 2020-05-12
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-04-13
ANNUAL REPORT 2017-04-05
ANNUAL REPORT 2016-03-14
Domestic Profit 2015-04-06

USAspending Awards / Financial Assistance

Date:
2020-04-28
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
24652.50
Total Face Value Of Loan:
24652.50

Paycheck Protection Program

Jobs Reported:
10
Initial Approval Amount:
$24,652.5
Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$24,652.5
Race:
White
Ethnicity:
Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$24,818.65
Servicing Lender:
Citizens First Bank
Use of Proceeds:
Payroll: $24,652.5

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 03 Aug 2025

Sources: Florida Department of State