| Entity Name: | SAGE DENTAL OF LAKE MARY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Feb 2016 (9 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 18 Dec 2019 (5 years ago) |
| Document Number: | L16000024854 |
| FEI/EIN Number | 81-1394433 |
| 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 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043674872 | 2016-04-07 | 2017-04-19 | 951 BROKEN SOUND PKWY, SUITE 250, BOCA RATON, FL, 334873507, US | 3801 W LAKE MARY BLVD, SUITE 111, LAKE MARY, FL, 327466159, US | |||||||||||||||||
|
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| Phone | +1 561-999-9650 |
| Fax | 5614318169 |
| Phone | +1 407-936-3400 |
Authorized person
| Name | ANTONIO CRUZ |
| Role | CHIEF DENTAL DIRECTOR |
| Phone | 5619999650 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT Corporate System | Agent | 1200 South Pine Island Road, Plantation, FL 33324 |
| Name | Role |
|---|---|
| SAGE DENTAL GROUP OF FLORIDA, PLLC | Other |
| Name | Role | Address |
|---|---|---|
| ROARK, CINDY | President | 6600 Congress Avenue, Suite 150 BOCA RATON, FL 33487 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000015151 | SAGE DENTAL | ACTIVE | 2016-02-10 | 2027-12-31 | 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 ADDRESS CHANGED | 2020-06-28 | 1200 South Pine Island Road, Plantation, FL 33324 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-06-28 | CT Corporate System | No data |
| LC AMENDMENT | 2019-12-18 | No data | No data |
| LC AMENDMENT | 2017-06-27 | No data | No data |
| LC AMENDMENT | 2016-03-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-19 |
| ANNUAL REPORT | 2023-02-06 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-04-14 |
| 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 | 2017-01-11 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
