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SAGE DENTAL OF PARKLAND, PLLC

Company Details

Entity Name: SAGE DENTAL OF PARKLAND, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 17 Jul 2008 (17 years ago)
Last Event: LC NAME CHANGE
Event Date Filed: 14 Jul 2015 (10 years ago)
Document Number: L08000068983
FEI/EIN Number 263005873
Address: 6600 Congress Avenue, BOCA RATON, FL, 33487, US
Mail Address: 6600 Congress Avenue, BOCA RATON, FL, 33487, US
ZIP code: 33487
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104074004 2008-09-04 2017-03-17 951 BROKEN SOUND PKWY, SUITE 250, BOCA RATON, FL, 33487, US 5810 CORAL RIDGE DR, SUITE 130, CORAL SPRINGS, FL, 330763374, US

Contacts

Phone +1 561-999-9650
Fax 5614318169
Phone +1 954-905-1290

Authorized person

Name ANTONIO CRUZ
Role CHIEF DENTAL DIRECTOR
Phone 5619999650

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number DN6483
State FL
Is Primary Yes

Agent

Name Role Address
CT Corporation System Agent 1200 South Pine Island Road, Plantation, FL, 33324

President

Name Role Address
Roark Cindy President 6600 Congress Avenue, BOCA RATON, FL, 33487

Othe

Name Role
SAGE DENTAL GROUP OF FLORIDA, PLLC Othe

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000033977 GENTLE DENTAL EXPIRED 2015-04-03 2020-12-31 No data 951 BROKEN SOUND PARKWAY, SUITE 250, BOCA RATON, FL, 33487
G15000033980 SAGE DENTAL ACTIVE 2015-04-03 2025-12-31 No data 951 BROKEN SOUND PARKWAY, SUITE 250, BOCA RATON, FL, 33487

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-02-07 6600 Congress Avenue, Suite 150, BOCA RATON, FL 33487 No data
CHANGE OF MAILING ADDRESS 2023-02-07 6600 Congress Avenue, Suite 150, BOCA RATON, FL 33487 No data
REGISTERED AGENT ADDRESS CHANGED 2022-03-09 1200 South Pine Island Road, Plantation, FL 33324 No data
REGISTERED AGENT NAME CHANGED 2020-06-29 CT Corporation System No data
LC NAME CHANGE 2015-07-14 SAGE DENTAL OF PARKLAND, PLLC No data
LC NAME CHANGE 2015-05-29 SAGE DENTAL GROUP OF PARKLAND, PLLC No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J17000052540 TERMINATED 1000000732500 BROWARD 2017-01-19 2037-01-26 $ 6,461.54 STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156

Documents

Name Date
ANNUAL REPORT 2024-02-19
ANNUAL REPORT 2023-02-07
ANNUAL REPORT 2022-03-09
ANNUAL REPORT 2021-04-14
ANNUAL REPORT 2020-06-29
ANNUAL REPORT 2019-02-18
ANNUAL REPORT 2018-01-27
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-02-26
LC Name Change 2015-07-14

Date of last update: 01 Jan 2025

Sources: Florida Department of State