| Entity Name: | SAGE DENTAL OF HALLANDALE BEACH, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Oct 2015 (9 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 17 Dec 2019 (5 years ago) |
| Document Number: | L15000171120 |
| FEI/EIN Number | 47-5264969 |
| 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 | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720459399 | 2015-10-08 | 2023-05-19 | 6600 CONGRESS AVE STE 150, BOCA RATON, FL, 334871213, US | 1701 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL, 330094621, US | |||||||||||||||||
|
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| Phone | +1 561-999-9650 |
| Phone | +1 954-779-3000 |
| Fax | 5614318169 |
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 |
|---|---|---|---|---|---|---|
| G17000077615 | PREMIER DENTAL OF HALLANDALE BEACH | EXPIRED | 2017-07-19 | 2022-12-31 | No data | 951 BROKEN SOUND PARKWAY, SUITE 250, BOCA RATON, FL, 33487 |
| G15000116184 | SAGE DENTAL | EXPIRED | 2015-11-16 | 2020-12-31 | No data | 951 BROKEN SOUND PARKWAY, SUITE 250, BOCA RATON, FL, 33487 |
| G15000115496 | SAGE DENTAL | ACTIVE | 2015-11-13 | 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 | 2023-02-06 | 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 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 | 2019-12-17 | No data | No data |
| LC AMENDMENT | 2015-11-05 | No data | No data |
| 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 | 2017-01-10 |
| ANNUAL REPORT | 2016-02-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
