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PERIODONTICS & IMPLANTOLOGY OF PEMBROKE PINES, INC.

PERIODONTICS & IMPLANTOLOGY OF PEMBROKE PINES, INC.

Company Details

Entity Name:	PERIODONTICS & IMPLANTOLOGY OF PEMBROKE PINES, INC.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Inactive
Date Filed:	13 Jul 2000 (25 years ago)
Date of dissolution:	24 Sep 2010 (14 years ago)
Last Event:	ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed:	24 Sep 2010 (14 years ago)
Document Number:	P00000067961
FEI/EIN Number	651027688
Address:	700 N. HIATUS RD., SUITE 201, PEMBROKE PINES, FL, 33026
Mail Address:	2314 SW 135TH AVENUE, MIRAMAR, FL, 33027
ZIP code:	33026
County:	Broward
Place of Formation:	FLORIDA

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1841374279

2006-10-24

2020-08-22

700 N HIATUS RD, #201, PEMBROKE PINES, FL, 330265206, US

Contacts

Phone	+1 954-517-1721
Fax	9544363628

Authorized person

Name	DR. DENISE ANNE BRADY
Role	PRESIDENT/OWNER
Phone	9545171721

Taxonomy

Taxonomy Code	1223P0300X - Periodontist
License Number	DN 14692
State	FL
Is Primary	Yes

Other Provider Identifiers

Issuer	FLORIDA DENTAL LICENCE
Number	DN14692
State	FL

Agent

Name	Role	Address
YOUNG DENISE A	Agent	2314 SW 135TH AVENUE, MIRAMAR, FL, 33027

President

Name	Role	Address
YOUNG DENISE A	President	2314 SW 135TH AVENUE, MIRAMAR, FL, 33027

Events

Event Type	Filed Date	Value	Description
ADMIN DISSOLUTION FOR ANNUAL REPORT	2010-09-24	No data	No data
REINSTATEMENT	2008-05-06	No data	No data
CHANGE OF MAILING ADDRESS	2008-05-06	700 N. HIATUS RD., SUITE 201, PEMBROKE PINES, FL 33026	No data
REGISTERED AGENT ADDRESS CHANGED	2008-05-06	2314 SW 135TH AVENUE, MIRAMAR, FL 33027	No data
ADMIN DISSOLUTION FOR ANNUAL REPORT	2006-09-15	No data	No data
CHANGE OF PRINCIPAL ADDRESS	2005-07-07	700 N. HIATUS RD., SUITE 201, PEMBROKE PINES, FL 33026	No data
CANCEL ADM DISS/REV	2004-01-19	No data	No data
ADMIN DISSOLUTION FOR ANNUAL REPORT	2001-09-21	No data	No data

Debts

Document Number	Status	Case Number	Name of Court	Date of Entry	Expiration Date	Amount Due	Plaintiff
J16000440671	ACTIVE	1000000717421	BROWARD	2016-07-15	2026-07-20	$ 416.22	STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105
J15001056494	ACTIVE	1000000694019	BROWARD	2015-09-14	2025-12-04	$ 612.10	STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105
J14000612175	TERMINATED	1000000616063	BROWARD	2014-05-05	2024-05-09	$ 1,317.43	STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149
J13000955444	TERMINATED	1000000502467	BROWARD	2013-05-16	2023-05-22	$ 1,058.16	STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149
J09000669589	TERMINATED	1000000099247	45817 519	2008-11-19	2029-02-18	$ 26.92	STATE OF FLORIDA, DEPARTMENT OF REVENUE, HOLLYWOOD SERVICE CENTER, 6565 TAFT ST STE 300, HOLLYWOOD FL330244044
J09000745546	TERMINATED	1000000099247	45817 519	2008-11-19	2014-02-25	$ 26.92	STATE OF FLORIDA, DEPARTMENT OF REVENUE, HOLLYWOOD SERVICE CENTER, 6565 TAFT ST STE 300, HOLLYWOOD FL330244044
J09000803808	TERMINATED	1000000099247	45817 519	2008-11-19	2029-03-05	$ 26.92	STATE OF FLORIDA, DEPARTMENT OF REVENUE, HOLLYWOOD SERVICE CENTER, 6565 TAFT ST STE 300, HOLLYWOOD FL330244044
J09000921436	TERMINATED	1000000099247	45817 519	2008-11-19	2029-03-18	$ 26.92	STATE OF FLORIDA, DEPARTMENT OF REVENUE, HOLLYWOOD SERVICE CENTER, 6565 TAFT ST STE 300, HOLLYWOOD FL330244044
J09000988153	TERMINATED	1000000099247	45817 519	2008-11-19	2029-03-25	$ 26.92	STATE OF FLORIDA, DEPARTMENT OF REVENUE, HOLLYWOOD SERVICE CENTER, 6565 TAFT ST STE 300, HOLLYWOOD FL330244044
J09001047637	TERMINATED	1000000099247	45817 519	2008-11-19	2029-04-01	$ 26.92	STATE OF FLORIDA, DEPARTMENT OF REVENUE, HOLLYWOOD SERVICE CENTER, 6565 TAFT ST STE 300, HOLLYWOOD FL330244044
J09001111276	TERMINATED	1000000099247	45817 519	2008-11-19	2029-04-08	$ 26.92	STATE OF FLORIDA, DEPARTMENT OF REVENUE, HOLLYWOOD SERVICE CENTER, 6565 TAFT ST STE 300, HOLLYWOOD FL330244044
J09000186717	TERMINATED	1000000099247	45817 519	2008-11-19	2029-01-22	$ 3,329.55	STATE OF FLORIDA, DEPARTMENT OF REVENUE, HOLLYWOOD SERVICE CENTER, 6565 TAFT ST STE 300, HOLLYWOOD FL330244044
J09000863737	TERMINATED	1000000099247	45817 519	2008-11-19	2029-03-11	$ 26.92	STATE OF FLORIDA, DEPARTMENT OF REVENUE, HOLLYWOOD SERVICE CENTER, 6565 TAFT ST STE 300, HOLLYWOOD FL330244044
J09000422427	ACTIVE	1000000099247	45817 519	2008-11-19	2029-01-28	$ 3,329.55	STATE OF FLORIDA, DEPARTMENT OF REVENUE, HOLLYWOOD SERVICE CENTER, 6565 TAFT ST STE 300, HOLLYWOOD FL330244044
J09000519396	TERMINATED	1000000099247	45817 519	2008-11-19	2029-02-04	$ 26.92	STATE OF FLORIDA, DEPARTMENT OF REVENUE, HOLLYWOOD SERVICE CENTER, 6565 TAFT ST STE 300, HOLLYWOOD FL330244044
J09000593847	TERMINATED	1000000099247	45817 519	2008-11-19	2029-02-11	$ 26.92	STATE OF FLORIDA, DEPARTMENT OF REVENUE, HOLLYWOOD SERVICE CENTER, 6565 TAFT ST STE 300, HOLLYWOOD FL330244044

Documents

Name	Date
ANNUAL REPORT	2009-01-13
ANNUAL REPORT	2008-06-24
ANNUAL REPORT	2008-06-06
REINSTATEMENT	2008-05-06
REINSTATEMENT	2005-01-19
Domestic Profit	2000-07-13

Date of last update: 01 Feb 2025

Sources: Florida Department of State