| Entity Name: | BALBOA & ASSOCIATES DENTAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Feb 2014 (11 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 06 Jul 2022 (3 years ago) |
| Document Number: | L14000027213 |
| FEI/EIN Number | 46-4983028 |
| Address: | 14527 SW 42 STREET, MIAMI, FL, 33175, US |
| Mail Address: | 14527 SW 42 STREET, MIAMI, FL, 33175, US |
| ZIP code: | 33175 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639541659 | 2015-10-29 | 2015-10-29 | 14527 SW 42ND ST, MIAMI, FL, 331757801, US | 14527 SW 42ND ST, MIAMI, FL, 331757801, US | |||||||||||||||||||
|
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| Phone | +1 305-503-5122 |
| Fax | 3053289636 |
Authorized person
| Name | MR. RAFAEL G BALBOA |
| Role | DENTIST |
| Phone | 3055035122 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN20434 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RAFAEL G. BALBOA DMD | Agent | 14527 SW 42 STREET, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| RAFAEL G. BALBOA DMD | Manager | 14527 SW 42 STREET, MIAMI, FL, 33175 |
| SUAREZ LILIA M | Manager | 14527 SW 42 STREET, MIAMI, FL, 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC NAME CHANGE | 2022-07-06 | BALBOA & ASSOCIATES DENTAL GROUP LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-03-07 | 14527 SW 42 STREET, MIAMI, FL 33175 | No data |
| CHANGE OF MAILING ADDRESS | 2019-03-07 | 14527 SW 42 STREET, MIAMI, FL 33175 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-07 | 14527 SW 42 STREET, MIAMI, FL 33175 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-01-21 | RAFAEL G. BALBOA DMD | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-12 |
| ANNUAL REPORT | 2023-01-27 |
| LC Name Change | 2022-07-06 |
| ANNUAL REPORT | 2022-03-18 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-03-23 |
| ANNUAL REPORT | 2019-03-07 |
| ANNUAL REPORT | 2018-04-28 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-03-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
