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 |
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 | |||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
Delle-Donne, Vincent | Agent | 29544 Villa Tuscany Drive, Wesley Chapel, FL 33545 |
Name | Role | Address |
---|---|---|
DELLE-DONNE, VINCENT | President | 29544 VILLA TUSCANY DRIVE, TAMPA, FL 33545 |
Name | Role | Address |
---|---|---|
MICHAUD, ROBERT | Vice President | 917 ANCHORAGE ROAD, TAMPA, FL 33602 |
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 |
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 |
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