| Entity Name: | THE DENTIST AT THE VILLAGES, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
THE DENTIST AT THE VILLAGES, INC is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| 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
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 307 LAGRANDE BLVD, LADY LAKE, FL, 32159, US |
| Mail Address: | 307 LAGRANDE BLVD, LADY LAKE, FL, 32159, US |
| ZIP code: | 32159 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760938005 | 2016-08-28 | 2016-08-28 | 307 LAGRANDE BLVD, LADY LAKE, FL, 321592388, US | 307 LAGRANDE BLVD, LADY LAKE, FL, 321592388, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 352-753-5789 |
Authorized person
| Name | DR. CARLOS MEDINA |
| Role | OWNWE/DENTIST |
| Phone | 3527535789 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| License Number | DN 15845 |
| State | FL |
| Is Primary | Yes |
| 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 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-02-23 | - | - |
| REGISTERED AGENT NAME CHANGED | 2022-03-11 | CARUSO, STEVE | - |
| 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 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4623187203 | 2020-04-27 | 0491 | PPP | 307 LaGrande Blv, Lady Lake, FL, 32159 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 03 Apr 2025
Sources: Florida Department of State
