| Entity Name: | BOYNTON ORAL SURGERY AND IMPLANT CENTER, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Jun 2019 (6 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 30 Apr 2024 (9 months ago) |
| Document Number: | L19000142516 |
| FEI/EIN Number | 84-2123108 |
| Address: | 3695 W BOYTON BEACH BLVD #1, BOYTON BEACH, FL 33436 |
| Mail Address: | 6240 Lake Osprey Dr., Sarasota, FL 34240 |
| ZIP code: | 33436 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255980447 | 2019-09-10 | 2020-01-29 | 3695 W BOYNTON BEACH BLVD STE 1, BOYNTON BEACH, FL, 334364516, US | 3695 W BOYNTON BEACH BLVD STE 1, BOYNTON BEACH, FL, 334364516, US | |||||||||||||
|
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| Phone | +1 561-364-1800 |
Authorized person
| Name | MIKE COLE |
| Role | VP INSURANCE PLAN MANAGEMENT |
| Phone | 9419553150 |
Taxonomy
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| GALLO, DONALD A | Manager | 6240 Lake Osprey Dr, Sarasota, FL 34240 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-30 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| LC STMNT OF RA/RO CHG | 2024-04-30 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-04-30 | C T CORPORATION SYSTEM | No data |
| REINSTATEMENT | 2022-10-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2021-09-29 | 3695 W BOYTON BEACH BLVD #1, BOYTON BEACH, FL 33436 | No data |
| REINSTATEMENT | 2021-09-29 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| CORLCRACHG | 2024-04-30 |
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-01-19 |
| REINSTATEMENT | 2022-10-06 |
| REINSTATEMENT | 2021-09-29 |
| ANNUAL REPORT | 2020-07-12 |
| Florida Limited Liability | 2019-06-05 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
