| Entity Name: | VIDALES DENTAL CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 29 Jan 2019 (6 years ago) |
| Document Number: | P19000010167 |
| FEI/EIN Number | 83-3863133 |
| Address: | 6958 SHIMMERING DR, LAKELAND, FL, 33813, US |
| Mail Address: | 6958 SHIMMERING DR, LAKELAND, FL, 33813, US |
| ZIP code: | 33813 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780466011 | 2023-10-20 | 2023-10-20 | 6958 SHIMMERING DR, LAKELAND, FL, 338133331, US | 6958 SHIMMERING DR, LAKELAND, FL, 338133331, US | |||||||||||||
|
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| Phone | +1 813-818-8056 |
Authorized person
| Name | DR. MATEO VIDALES |
| Role | OWNER |
| Phone | 8632255600 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VIDALES MATEO | Agent | 6958 SHIMMERING DR, LAKELAND, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| Vidales Mateo | President | 6958 Shimmering Drive, LAKELAND, FL, 33813 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000003416 | SHIMMERING DENTAL | ACTIVE | 2020-01-08 | 2025-12-31 | No data | 6958 SHIMMERING DRIVE, LAKELAND, FL, 33813 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-30 | 6958 SHIMMERING DR, LAKELAND, FL 33813 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-30 | 6958 SHIMMERING DR, LAKELAND, FL 33813 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-30 | 6958 SHIMMERING DR, LAKELAND, FL 33813 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-03-29 |
| ANNUAL REPORT | 2020-03-24 |
| Reg. Agent Change | 2020-01-30 |
| Domestic Profit | 2019-01-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
