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SAGE DENTAL OF ROYAL PALM BEACH, PLLC

Company Details

Entity Name: SAGE DENTAL OF ROYAL PALM BEACH, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 03 Oct 2013 (11 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 17 Dec 2019 (5 years ago)
Document Number: L13000140209
FEI/EIN Number 46-3804620
Address: 6600 Congress Avenue, Suite 150, BOCA RATON, FL 33487
Mail Address: 6600 Congress Avenue, Suite 150, BOCA RATON, FL 33487
ZIP code: 33487
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679900526 2013-10-08 2017-04-26 951 BROKEN SOUND PKWY, SUITE 250, BOCA RATON, FL, 33487, US 137 S STATE ROAD 7, SUITE 301, ROYAL PALM BEACH, FL, 334144380, US

Contacts

Phone +1 561-999-9650
Fax 5614318169
Phone +1 561-202-6880

Authorized person

Name ANTONIO CRUZ
Role CHIEF DENTAL DIRECTOR
Phone 5619999650

Taxonomy

Taxonomy Code 122300000X - Dentist
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, Suite 150 BOCA RATON, FL 33487

Other

Name Role
SAGE DENTAL GROUP OF FLORIDA, PLLC Other

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000030947 GENTLE DENTAL EXPIRED 2015-03-25 2020-12-31 No data 951 BROKEN SOUND PARKWAY, SUITE 250, BOCA RATON, FL, 33487
G15000030951 SAGE DENTAL ACTIVE 2015-03-25 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 2020-06-29 1200 South Pine Island Road, Plantation, FL 33324 No data
REGISTERED AGENT NAME CHANGED 2020-06-29 CT Corporation System No data
LC AMENDMENT 2019-12-17 No data No data
LC NAME CHANGE 2015-07-14 SAGE DENTAL OF ROYAL PALM BEACH, PLLC No data
LC NAME CHANGE 2015-05-29 SAGE DENTAL GROUP OF ROYAL PALM BEACH, PLLC No data

Documents

Name Date
ANNUAL REPORT 2024-02-21
ANNUAL REPORT 2023-02-07
ANNUAL REPORT 2022-03-09
ANNUAL REPORT 2021-04-14
ANNUAL REPORT 2020-06-29
LC Amendment 2019-12-17
ANNUAL REPORT 2019-02-18
ANNUAL REPORT 2018-01-27
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-02-26

Date of last update: 22 Jan 2025

Sources: Florida Department of State