Entity Name: | MAGNOLIA DENTAL, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 13 Apr 1993 (32 years ago) |
Document Number: | P93000027236 |
FEI/EIN Number | 593172923 |
Address: | 115-B SALEM COURT, TALLAHASSEE, FL, 32301 |
Mail Address: | 115-B SALEM COURT, TALLAHASSEE, FL, 32301 |
ZIP code: | 32301 |
County: | Leon |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1164159398 | 2022-08-08 | 2022-08-08 | 521 CAPE CORAL PKWY W, CAPE CORAL, FL, 339148507, US | 521 CAPE CORAL PKWY W, CAPE CORAL, FL, 339148507, US | |||||||||||||
|
Phone | +1 239-542-1500 |
Authorized person
Name | DR. SEAN WESLEY COYLE |
Role | OWNER DENTIST |
Phone | 2395421500 |
Taxonomy
Taxonomy Code | 261QD0000X - Dental Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
MONTALVO RALPH D | Agent | 115-B SALEM COURT, TALLAHASSEE, FL, 32308 |
Name | Role | Address |
---|---|---|
MONTALVO RALPH | President | 3216 STORRINGTON DR., TALLAHASSEE, FL, 32308 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 1997-09-26 | No data | No data |
REINSTATEMENT | 1995-09-26 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 1995-08-25 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State