| Entity Name: | SAGE DENTAL OF ALAFAYA, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 17 Mar 2023 (2 years ago) |
| Last Event: | LC ARTICLE OF CORRECTION/NAME CHANGE |
| Event Date Filed: | 22 Mar 2023 (2 years ago) |
| Document Number: | L23000125614 |
| FEI/EIN Number | 92-2996475 |
| Address: | 6600 CONGRESS AVE., STE 150, BOCA RATON, FL 33487 |
| Mail Address: | 6600 CONGRESS AVE., STE 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 | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396430138 | 2023-04-07 | 2023-09-29 | PO BOX 931622, ATLANTA, GA, 311931622, US | 12231 E COLONIAL DR STE 150, ORLANDO, FL, 328264761, US | |||||||||||||
|
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| Phone | +1 561-999-9650 |
Authorized person
| Name | CINDY ROARK |
| Role | SVP & CHIEF CLINICAL OFFICER |
| Phone | 5619999650 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 SOUTH PINE ISLAND RD, PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| Roark, Cindy | President | 6600 CONGRESS AVE., STE 150, BOCA RATON, FL 33487 |
| Name | Role |
|---|---|
| SAGE DENTAL GROUP OF FLORIDA, PLLC | Manager |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000038819 | SAGE DENTAL | ACTIVE | 2023-03-24 | 2028-12-31 | No data | 6600 CONGRESS AVE, SUITE 150, BOCA RATON, FL, 33487 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC ARTICLE OF CORR- ECTION/NAME CHANGE | 2023-03-22 | SAGE DENTAL OF ALAFAYA, PLLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-14 |
| LC Article of Correction/NC | 2023-03-22 |
| Florida Limited Liability | 2023-03-17 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
