| Entity Name: | SAGE DENTAL OF CONWAY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Jul 2015 (10 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 18 Dec 2019 (5 years ago) |
| Document Number: | L15000127806 |
| FEI/EIN Number | 47-4651034 |
| Address: | 6600 Congress Avenue, BOCA RATON, FL, 33487, US |
| Mail Address: | 6600 Congress Avenue, BOCA RATON, FL, 33487, US |
| ZIP code: | 33487 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295110302 | 2015-07-30 | 2023-05-19 | 6600 CONGRESS AVE STE 150, BOCA RATON, FL, 334871213, US | 4441 HOFFNER AVE, BELLE ISLE, FL, 328122331, US | |||||||||||||||||
|
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| Phone | +1 561-999-9650 |
| Fax | 5614318169 |
| Phone | +1 407-218-4744 |
Authorized person
| Name | ANTONIO CRUZ |
| Role | CHIEF DENTAL DIRECTOR |
| Phone | 5619999650 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT Corporation System | Agent | 1200 South Pine Island Road, Plantation, FL, 33324 |
| Name | Role |
|---|---|
| SAGE DENTAL GROUP OF FLORIDA, PLLC | Othe |
| Name | Role | Address |
|---|---|---|
| ROARK CINDY | President | 6600 Congress Avenue, BOCA RATON, FL, 33487 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000107373 | SAGE DENTAL | ACTIVE | 2015-10-21 | 2025-12-31 | No data | 951 BROKEN SOUND PARKWAY, SUITE 250, BOCA RATON, FL, 33487 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-03 | 6600 Congress Avenue, Suite 150, BOCA RATON, FL 33487 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-03 | 6600 Congress Avenue, Suite 150, BOCA RATON, FL 33487 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-06-28 | CT Corporation System | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-28 | 1200 South Pine Island Road, Plantation, FL 33324 | No data |
| LC AMENDMENT | 2019-12-18 | No data | No data |
| LC AMENDMENT | 2017-06-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-02-03 |
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-04-02 |
| ANNUAL REPORT | 2020-06-28 |
| LC Amendment | 2019-12-18 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-01-27 |
| LC Amendment | 2017-06-27 |
| ANNUAL REPORT | 2017-01-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
