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SAGE DENTAL OF UNIVERSITY PLLC

Company Details

Entity Name: SAGE DENTAL OF UNIVERSITY PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 11 Mar 2016 (9 years ago)
Date of dissolution: 25 Sep 2020 (4 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (4 years ago)
Document Number: L16000050972
FEI/EIN Number 81-1787176
Address: 951 BROKEN SOUND PARKWAY, 250, BOCA RATON, FL, 33487, US
Mail Address: 951 BROKEN SOUND PARKWAY, 250, BOCA RATON, FL, 33487, US
ZIP code: 33487
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1780039602 2016-04-28 2017-04-19 951 BROKEN SOUND PKWY, SUITE 250, BOCA RATON, FL, 334873507, US 12250 STRATEGY BLVD, SUITE 437, ORLANDO, FL, 328172108, US

Contacts

Phone +1 561-999-9650
Fax 5614318169
Phone +1 407-781-0449

Authorized person

Name ANTONIO CRUZ
Role CHIEF DENTAL DIRECTOR
Phone 5619999650

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes

Agent

Name Role Address
Perrone Cynthia M Agent 951 Broken Sound Parkway, Boca Raton, FL, 33487

Manager

Name Role Address
ROARK CINDY D.M.D., Manager 951 BROKEN SOUND PARKWAY, SUITE 250, BOCA RATON, FL, 33487
SAGE DENTAL GROUP OF FLORIDA, PLLC Manager No data

Vice President

Name Role Address
CRUZ ANTONIO D.M.D. Vice President 951 BROKEN SOUND PARKWAY, BOCA RATON, FL, 33487

Treasurer

Name Role Address
CRUZ ANTONIO D.M.D. Treasurer 951 BROKEN SOUND PARKWAY, BOCA RATON, FL, 33487

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000036998 SAGE DENTAL ACTIVE 2016-04-12 2027-12-31 No data 951 BROKEN SOUND PARKWAY, SUITE 250, BOCA RATON, FL, 33487

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
LC AMENDMENT 2019-12-18 No data No data
REGISTERED AGENT NAME CHANGED 2019-02-18 Perrone, Cynthia M No data
REGISTERED AGENT ADDRESS CHANGED 2019-02-18 951 Broken Sound Parkway, 250, Boca Raton, FL 33487 No data
LC AMENDMENT 2017-06-27 No data No data

Documents

Name Date
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
Florida Limited Liability 2016-03-11

Date of last update: 01 Feb 2025

Sources: Florida Department of State