| Entity Name: | DENTAL ARTS OF ST. LUCIE WEST, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 Jun 2002 (23 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 17 Oct 2003 (21 years ago) |
| Document Number: | P02000068231 |
| FEI/EIN Number | 113647247 |
| Address: | 1420 ST. LUCIE WEST BLVD., 105, PORT SAINT LUCIE, FL, 34986 |
| Mail Address: | 1420 ST. LUCIE WEST BLVD., 105, PORT SAINT LUCIE, FL, 34986 |
| ZIP code: | 34986 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053420661 | 2006-08-29 | 2020-08-22 | 1420 SW ST LUCIE WEST BLVD, SUITE 105, PORT ST LUCIE, FL, 349861709, US | 1420 SW ST LUCIE WEST BLVD, SUITE 105, PORT ST LUCIE, FL, 349861709, US | |||||||||||||||||||
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| Phone | +1 772-878-7300 |
| Fax | 7728789200 |
Authorized person
| Name | ANDREW TODD LAGER |
| Role | PRESIDENT |
| Phone | 7728787300 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 14323 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LAGER ANDREW T | Agent | 4198 NW White Oak Way, Jensen Beach, FL, 34957 |
| Name | Role | Address |
|---|---|---|
| LAGER ANDREW T | President | 4198 NW White Oak Way, Jensen Beach, FL, 34957 |
| Name | Role | Address |
|---|---|---|
| LAGER ANDREW T | Director | 4198 NW White Oak Way, Jensen Beach, FL, 34957 |
| Name | Role | Address |
|---|---|---|
| LAGER YOUNG-SHIN | Secretary | 4198 NW White Oak Way, Jensen Beach, FL, 34957 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000048057 | ANDREW LAGER | EXPIRED | 2012-05-21 | 2017-12-31 | No data | 1420 ST. LUCIE WEST BLVD, PORT ST LUCIE, FL, 34986--170 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-12 | 4198 NW White Oak Way, Jensen Beach, FL 34957 | No data |
| CHANGE OF MAILING ADDRESS | 2010-02-12 | 1420 ST. LUCIE WEST BLVD., 105, PORT SAINT LUCIE, FL 34986 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-19 | 1420 ST. LUCIE WEST BLVD., 105, PORT SAINT LUCIE, FL 34986 | No data |
| CANCEL ADM DISS/REV | 2003-10-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-25 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-26 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-09 |
| ANNUAL REPORT | 2018-02-01 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-02-08 |
| ANNUAL REPORT | 2015-01-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
