| Entity Name: | MILDRED COLLAZO DDS PL |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Sep 2012 (12 years ago) |
| Document Number: | L12000113803 |
| FEI/EIN Number | 46-0927986 |
| Address: | 5863 N. UNIVERSITY DR, TAMARAC, FL, 33321, US |
| Mail Address: | 5863 N. UNIVERSITY DR, TAMARAC, FL, 33321, US |
| ZIP code: | 33321 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427788090 | 2022-06-15 | 2022-06-15 | 3930 NW 72ND DR, CORAL SPRINGS, FL, 330652248, US | 5863 N UNIVERSITY DR, TAMARAC, FL, 333214617, US | |||||||||||||||||
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| Phone | +1 561-294-4796 |
| Phone | +1 954-720-2444 |
| Fax | 9543648548 |
Authorized person
| Name | MRS. MILDRED COLLAZO |
| Role | DENTIST |
| Phone | 5612944796 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MILDRED COLLAZO | Agent | 5863 N. UNIVERSITY DR, TAMARAC, FL, 33321 |
| Name | Role | Address |
|---|---|---|
| MILDRED COLLAZO REVOCABLE LIVING TRUST | Trustee | 5863 N. UNIVERSITY DR, TAMARAC, FL, 33321 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000092116 | PROMISING DENTAL CARE | ACTIVE | 2018-08-18 | 2028-12-31 | No data | 5863 N. UNIVERSITY DR., TAMARAC, FL, 33321 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-02 | 5863 N. UNIVERSITY DR, TAMARAC, FL 33321 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-02 | 5863 N. UNIVERSITY DR, TAMARAC, FL 33321 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-02 | 5863 N. UNIVERSITY DR, TAMARAC, FL 33321 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-03-01 | MILDRED, COLLAZO | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-04-12 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-04-01 |
| ANNUAL REPORT | 2015-03-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
