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SOUTH FAMILIA DENTAL PA

Company Details

Entity Name: SOUTH FAMILIA DENTAL PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 05 Aug 2016 (8 years ago)
Date of dissolution: 08 Apr 2021 (4 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 08 Apr 2021 (4 years ago)
Document Number: P16000065139
FEI/EIN Number 81-3536006
Mail Address: 5979 VINELAND ROAD, 205, ORLANDO, FL, 32819, US
Address: 12720 ORANGE BLOSSOM TRAIL, 22, ORLANDO, FL, 32837
ZIP code: 32837
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861943870 2016-10-14 2016-10-14 12720 S ORANGE BLOSSOM TRL STE 22, ORLANDO, FL, 328376227, US 12720 S ORANGE BLOSSOM TRL STE 22, ORLANDO, FL, 328376227, US

Contacts

Phone +1 407-351-3213

Authorized person

Name DR. GABRIEL SANGALANG
Role OWNER
Phone 4073513213

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number DN19152
State IL
Is Primary Yes

Agent

Name Role Address
SANGALANG GABRIEL Agent 5979 VINELAND ROAD, ORLANDO, FL, 32819

President

Name Role Address
SANGALANG GABRIEL President 5979 VINELAND ROAD SUITE 205, ORLANDO, FL, 32819

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2021-04-08 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2021-04-08
ANNUAL REPORT 2019-05-01
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-01-16
Domestic Profit 2016-08-05

Date of last update: 03 Feb 2025

Sources: Florida Department of State