| Entity Name: | PEDIATRIC AND ADULT DENTISTRY OF THE PALM BEACHES PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 May 2011 (14 years ago) |
| Document Number: | L11000061914 |
| FEI/EIN Number | 800730753 |
| Address: | 3365 BURNS ROAD, SUITE 209, PALM BEACH GARDENS, FL, 33410, US |
| Mail Address: | 3365 BURNS ROAD, SUITE 209, PALM BEACH GARDENS, FL, 33410, US |
| ZIP code: | 33410 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962769810 | 2012-04-17 | 2021-05-12 | 3365 BURNS ROAD, SUITE 209, PALM BEACH GARDENS, FL, 334104308, US | 3365 BURNS ROAD, SUITE 209, PALM BEACH GARDENS, FL, 334104308, US | |||||||||||||||||||||||||||
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| Phone | +1 561-775-1011 |
| Fax | 5617758283 |
Authorized person
| Name | YURI GOLDVASSER |
| Role | PARTNER |
| Phone | 5617751011 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN16980 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| License Number | DN16968 |
| State | FL |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PEDIATRIC AND ADULT DENTISTRY OF THE PALM BEACHES 401(K) PLAN | 2023 | 800730753 | 2024-06-13 | PEDIATRIC AND ADULT DENTISTRY OF THE PALM BEACHES PLLC | 13 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| GOLDVASSER YURI | Agent | 3365 BURNS ROAD, PALM BEACH GARDENS, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| KRAMER LAUREN | Managing Member | 3365 BURNS ROAD, SUITE 209, PALM BEACH GARDENS, FL, 33410 |
| GOLDVASSER YURI | Managing Member | 3365 BURNS ROAD, SUITE 209, PALM BEACH GARDENS, FL, 33410 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2015-02-23 | GOLDVASSER, YURI | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-26 |
| ANNUAL REPORT | 2023-01-22 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-31 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-14 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-01-28 |
| ANNUAL REPORT | 2016-01-30 |
| ANNUAL REPORT | 2015-02-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
