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SAGE DENTAL OF FT. LAUDERDALE, PLLC

Company Details

Entity Name: SAGE DENTAL OF FT. LAUDERDALE, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 17 Jan 2014 (11 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 17 Dec 2019 (5 years ago)
Document Number: L14000009894
FEI/EIN Number 46-4571377
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
1013330430 2014-01-22 2017-02-24 951 BROKEN SOUND PKWY, SUITE 250, BOCA RATON, FL, 33487, US 6171 N FEDERAL HWY, FT LAUDERDALE, FL, 333082227, US

Contacts

Phone +1 561-999-9650
Fax 5614318169
Phone +1 561-641-5610

Authorized person

Name ANTONIO CRUZ
Role CHEIF 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
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 2023-02-06 6600 Congress Avenue, Suite 150, Boca Raton, FL 33487 No data
CHANGE OF MAILING ADDRESS 2023-02-06 6600 Congress Avenue, Suite 150, Boca Raton, FL 33487 No data
REGISTERED AGENT ADDRESS CHANGED 2020-06-28 1200 South Pine Island Road, Plantation, FL 33324 No data
REGISTERED AGENT NAME CHANGED 2020-06-28 CT Corporation System No data
LC AMENDMENT 2019-12-17 No data No data
LC NAME CHANGE 2015-07-14 SAGE DENTAL OF FT. LAUDERDALE, PLLC No data
LC NAME CHANGE 2015-06-01 SAGE DENTAL GROUP OF FT. LAUDERDALE, PLLC No data

Documents

Name Date
ANNUAL REPORT 2024-02-16
ANNUAL REPORT 2023-02-06
ANNUAL REPORT 2022-03-09
ANNUAL REPORT 2021-04-14
ANNUAL REPORT 2020-06-28
LC Amendment 2019-12-17
ANNUAL REPORT 2019-02-18
ANNUAL REPORT 2018-01-27
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-02-25

Date of last update: 22 Jan 2025

Sources: Florida Department of State