| Entity Name: | ORBIT DENTAL MANAGEMENT PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 08 Nov 2019 (5 years ago) |
| Document Number: | P19000086784 |
| FEI/EIN Number | 84-3771905 |
| Address: | 19501 W COUNTRY CLUB DR, APT 2408, AVENTURA, FL 33180 |
| Mail Address: | 19501 W COUNTRY CLUB DR, APT 2408, AVENTURA, FL 33180 |
| ZIP code: | 33180 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154935799 | 2020-09-01 | 2020-09-01 | 1453 NW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL, 349861968, US | 1453 NW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL, 349861968, US | |||||||||||||||
|
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| Phone | +1 772-348-4403 |
| Fax | 7723484342 |
Authorized person
| Name | MIKHAIL GANKIN |
| Role | OWNER |
| Phone | 7723484403 |
Taxonomy
| Taxonomy Code | 1223E0200X - Endodontist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GANKIN, MIKHAIL | Agent | 19501 W COUNTRY CLUB DR, APT 2408, AVENTURA, FL 33180 |
| Name | Role | Address |
|---|---|---|
| GANKIN, MIKHAIL | PRESIDENT | 19501 W COUNTRY CLUB DR, APT 2408 AVENTURA, FL 33180 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000125614 | ST. LUCIE WEST DENTAL SPECIALISTS | EXPIRED | 2019-11-25 | 2024-12-31 | No data | 19501 W. COUNTRY CLUB DR. UNIT 2408, AVENTURA, FL, 33180 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-07-15 | 19501 W COUNTRY CLUB DR, APT 2408, AVENTURA, FL 33180 | No data |
| CHANGE OF MAILING ADDRESS | 2022-07-15 | 19501 W COUNTRY CLUB DR, APT 2408, AVENTURA, FL 33180 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-07-15 | GANKIN, MIKHAIL | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-07-15 | 19501 W COUNTRY CLUB DR, APT 2408, AVENTURA, FL 33180 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-07-15 |
| ANNUAL REPORT | 2021-01-25 |
| AMENDED ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2020-02-18 |
| Domestic Profit | 2019-11-08 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
