| Entity Name: | SAGE DENTAL OF DADELAND, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 04 May 2017 (8 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: | L17000099080 |
| FEI/EIN Number | 82-1451338 |
| Address: | 951 BROKEN SOUND PARKWAY NW, SUITE 250, BOCA RATON, FL, 33487, US |
| Mail Address: | 951 BROKEN SOUND PARKWAY NW, SUITE 250, 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 | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700303963 | 2017-08-28 | 2017-08-28 | 951 BROKEN SOUND PKWY STE 250, BOCA RATON, FL, 334873506, US | 7714 NORTH KENDALL DRIVE, KENDALL, FL, 33156, US | |||||||||||||||||||||||
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| Phone | +1 561-999-9650 |
| Fax | 5614318169 |
| Phone | +1 786-870-4665 |
| Fax | 3054153001 |
Authorized person
| Name | ANTONIO CRUZ |
| Role | CHIEF DENTAL DIRECTOR |
| Phone | 5619999650 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN12876 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PERRONE CYNTHIA M | Agent | 951 Broken Sound Pkwy, Boca Raton, FL, 33487 |
| Name | Role | Address |
|---|---|---|
| CRUZ ANTONIO D.M.D. | Vice President | 951 BROKEN SOUND PARKWAY NW, SUITE 250, BOCA RATON, FL, 33487 |
| Name | Role | Address |
|---|---|---|
| CRUZ ANTONIO D.M.D. | Treasurer | 951 BROKEN SOUND PARKWAY NW, SUITE 250, BOCA RATON, FL, 33487 |
| Name | Role | Address |
|---|---|---|
| ROARK CINDY DMD MS | Manager | 951 BROKEN SOUND PARKWAY NW, BOCA RATON, FL, 33487 |
| SAGE DENTAL GROUP OF FLORIDA, PLLC | Manager | No data |
| Name | Role | Address |
|---|---|---|
| ROARK CINDY | President | 951 BROKEN SOUND PARKWAY NW, BOCA RATON, FL, 33487 |
| Name | Role | Address |
|---|---|---|
| ROARK CINDY | Secretary | 951 BROKEN SOUND PARKWAY NW, BOCA RATON, FL, 33487 |
| 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 Pkwy, SUITE 250, Boca Raton, FL 33487 | No data |
| Name | Date |
|---|---|
| LC Amendment | 2019-12-18 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-01-27 |
| Florida Limited Liability | 2017-05-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
