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SAGE DENTAL OF DAYTONA AT BEACH STREET, PLLC - Florida Company Profile

Company Details

Entity Name: SAGE DENTAL OF DAYTONA AT BEACH STREET, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

SAGE DENTAL OF DAYTONA AT BEACH STREET, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 20 Oct 2022 (2 years ago)
Document Number: L22000451639
FEI/EIN Number 92-0790565

Federal Employer Identification (FEI) Number assigned by the IRS.

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

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1780394718 2022-11-30 2023-05-19 6600 CONGRESS AVE STE 150, BOCA RATON, FL, 334871213, US 208 S BEACH ST, DAYTONA BEACH, FL, 321144404, US

Contacts

Phone +1 561-999-9650
Phone +1 470-990-8723

Authorized person

Name CINDY ROARK
Role SVP & CHIEF CLINICAL OFFICER
Phone 5619999650

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes

Key Officers & Management

Name Role Address
SAGE DENTAL GROUP OF FLORIDA, PLLC Manager -
Roark Cindy President 6600 Congress Avenue, BOCA RATON, FL, 33487
CT CORPORATION SYSTEM Agent 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000134272 SAGE DENTAL ACTIVE 2022-10-27 2027-12-31 - 951 BROKEN SOUND PARKWAY, SUITE 250, BOCA RATON, FL, 33487

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-02-06 6600 Congress Avenue, Suite 150, BOCA RATON, FL 33487 -
CHANGE OF MAILING ADDRESS 2023-02-06 6600 Congress Avenue, Suite 150, BOCA RATON, FL 33487 -

Documents

Name Date
ANNUAL REPORT 2024-02-16
ANNUAL REPORT 2023-02-06
Florida Limited Liability 2022-10-20

Date of last update: 03 Apr 2025

Sources: Florida Department of State