| Entity Name: | ADVANCED DENTAL CARE OF ORANGE CITY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 19 Jun 1998 (27 years ago) |
| Document Number: | P98000059185 |
| FEI/EIN Number | 650849889 |
| Mail Address: | 6240 LAKE OSPREY DR., SARASOTA, FL, 34240 |
| Address: | 2435 S. VOLUSIA AVENUE, SUITE D-2, ORANGE CITY, FL, 32763 |
| ZIP code: | 32763 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427182369 | 2007-03-15 | 2010-07-30 | 2435 S VOLUSIA AVE STE D2, ORANGE CITY, FL, 327637643, US | 2435 S VOLUSIA AVE STE D2, ORANGE CITY, FL, 327637643, US | |||||||||||||
|
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| Phone | +1 386-775-3003 |
Authorized person
| Name | MIKE COLE |
| Role | INSURANCE DIRECTOR |
| Phone | 7277261611 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NICHOLS DAVID P | Agent | 6240 LAKE OSPREY DR., SARASOTA, FL, 34240 |
| Name | Role | Address |
|---|---|---|
| MONTILLA MIGUEL | Director | 6240 LAKE OSPREY DR., SARASOTA, FL, 34240 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
