| Entity Name: | CHAIN OF LAKES DENTAL PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Feb 2019 (6 years ago) |
| Document Number: | P19000011581 |
| FEI/EIN Number | 83-2958126 |
| Mail Address: | 13485 SOUTHERN WAY, WINDERMERE, FL, 34786, US |
| Address: | 1805 MAGUIRE RD, WINDERMERE, FL, 34786, US |
| ZIP code: | 34786 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639719859 | 2020-01-15 | 2020-01-15 | 175 NW 138TH TERRACE, SUITE 200, JONESVILLE, FL, 32669, US | 1805 MAGUIRE ROAD, SUITE 159, WINDERMERE, FL, 34786, US | |||||||||||||||||||
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| Phone | +1 352-332-3080 |
| Fax | 3523333729 |
| Phone | +1 407-876-6708 |
| Fax | 4072175921 |
Authorized person
| Name | VIVEK NERIKAR |
| Role | DMD- DENTIST OWNER |
| Phone | 9045534859 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALFORD GABRIELLA | Agent | 13485 SOUTHERN WAY, WINDERMERE, FL, 34786 |
| Name | Role | Address |
|---|---|---|
| ALFORD GABRIELLA | Vice President | 13485 SOUTHERN WAY, WINDERMERE, FL, 34786 |
| Name | Role | Address |
|---|---|---|
| nerikar vivek | President | 1209 NW 98th St, GAINESVILLE, FL, 32606 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000132588 | CHAIN OF LAKES DENTAL FAMILY AND COSMETIC DENTISTRY | ACTIVE | 2019-12-15 | 2029-12-31 | No data | 1805 MAGUIRE ROAD, STE 159, WINDERMERE, FL, 34786 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-02 |
| ANNUAL REPORT | 2024-01-19 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-30 |
| ANNUAL REPORT | 2020-01-17 |
| Domestic Profit | 2019-02-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
