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MDD DENTAL, INC

Company Details

Entity Name: MDD DENTAL, INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 13 Sep 2019 (5 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: P19000072485
FEI/EIN Number 84-3147630
Address: 3207 FLORIDA AVE S, LAKELAND, FL 33803
Mail Address: 29544 VILLA TUSCANY DR, WESLEY CHAPEL, FL 33545
ZIP code: 33803
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366085896 2019-10-28 2019-10-28 5095 PEE DEE LN, MURRELLS INLET, SC, 295765427, US 3207 S FLORIDA AVE, LAKELAND, FL, 338034550, US

Contacts

Phone +1 321-431-2208
Phone +1 863-606-6006

Authorized person

Name SYLVIA J MILLER
Role INSURANCE COORDINATOR
Phone 3214312208

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Agent

Name Role Address
Delle-Donne, Vincent Agent 29544 Villa Tuscany Drive, Wesley Chapel, FL 33545

President

Name Role Address
DELLE-DONNE, VINCENT President 29544 VILLA TUSCANY DRIVE, TAMPA, FL 33545

Vice President

Name Role Address
MICHAUD, ROBERT Vice President 917 ANCHORAGE ROAD, TAMPA, FL 33602

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000110360 SMILES ON FLORIDA EXPIRED 2019-10-10 2024-12-31 No data 29544 VILLA TUSCANY DRIVE, WESLEY CHAPEL, FL, 33545

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
REGISTERED AGENT NAME CHANGED 2020-04-29 Delle-Donne, Vincent No data
REGISTERED AGENT ADDRESS CHANGED 2020-04-29 29544 Villa Tuscany Drive, Wesley Chapel, FL 33545 No data
AMENDMENT 2019-10-09 No data No data
CHANGE OF PRINCIPAL ADDRESS 2019-10-09 3207 FLORIDA AVE S, LAKELAND, FL 33803 No data
CHANGE OF MAILING ADDRESS 2019-10-09 3207 FLORIDA AVE S, LAKELAND, FL 33803 No data

Documents

Name Date
ANNUAL REPORT 2022-04-11
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-04-29
Amendment 2019-10-09
Domestic Profit 2019-09-13

Date of last update: 16 Jan 2025

Sources: Florida Department of State