| Entity Name: | SAGE DENTAL OF PORT ST. LUCIE PEDIATRIC & SPECIALTY CENTER, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 04 Sep 2015 (9 years ago) |
| Date of dissolution: | 30 Aug 2017 (7 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 30 Aug 2017 (7 years ago) |
| Document Number: | L15000151806 |
| FEI/EIN Number | 47-5030766 |
| Address: | 951 BROKEN SOUND PARKWAY, BOCA RATON, FL, 33487, US |
| Mail Address: | 951 BROKEN SOUND PARKWAY, 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 | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417326869 | 2015-09-16 | 2015-09-16 | 951 BROKEN SOUND PKWY, SUITE 250, BOCA RATON, FL, 334873507, US | 1660 SW SAINT LUCIE WEST BLVD, SUITE 302, PORT ST LUCIE, FL, 349861967, US | |||||||||||||||||
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| Phone | +1 561-999-9650 |
| Fax | 5614318169 |
| Phone | +1 772-337-8388 |
Authorized person
| Name | NEAL ZIEGLER |
| Role | CHIEF DENTAL DIRECTOR |
| Phone | 5619999650 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GERSON GARY NEsq. | Agent | 3001 PGA BLVD, PALM BEACH GARDENS, FL, 33410 |
| Name | Role |
|---|---|
| SAGE DENTAL GROUP OF FLORIDA, PLLC | Auth |
| Name | Role | Address |
|---|---|---|
| Montilla Miguel Dr. | Manager | 951 BROKEN SOUND PARKWAY, BOCA RATON, FL, 33487 |
| Name | Role | Address |
|---|---|---|
| CRUZ ANTONIO Dr. | President | 951 BROKEN SOUND PARKWAY, BOCA RATON, FL, 33487 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000104450 | SAGE DENTAL | EXPIRED | 2015-10-13 | 2020-12-31 | No data | 951 BROKEN SOUND PARKWAY, SUITE 250, BOCA RATON, FL, 33487 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2017-08-30 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-02-29 | 951 BROKEN SOUND PARKWAY, SUITE 250, BOCA RATON, FL 33487 | No data |
| CHANGE OF MAILING ADDRESS | 2016-02-29 | 951 BROKEN SOUND PARKWAY, SUITE 250, BOCA RATON, FL 33487 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-02-29 | GERSON, GARY N, Esq. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-02-29 | 3001 PGA BLVD, SUITE 305, PALM BEACH GARDENS, FL 33410 | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2017-08-30 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-02-29 |
| Florida Limited Liability | 2015-09-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
