| Entity Name: | CASTILLO ROMAN DENTAL INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 22 Aug 2003 (21 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | P03000092316 |
| FEI/EIN Number | 200203524 |
| Address: | 2900 NW 130th Avenue, Apt 311, Sunrise, FL, 33323, US |
| Mail Address: | 2900 NW 130th Avenue, Apt 311, Sunrise, FL, 33323, US |
| ZIP code: | 33323 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427215243 | 2008-05-20 | 2008-05-20 | 1390 CORAL RIDGE DR, CORAL SPRINGS, FL, 330715434, US | 1390 CORAL RIDGE DR, CORAL SPRINGS, FL, 330715434, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 954-752-7874 |
Authorized person
| Name | DR. INGRID CAROLINA CASTILLO |
| Role | OWNER |
| Phone | 9547527874 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN 16293 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE NUMBER |
| Number | DN 16293 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CASTILLO GUSTAVO | Agent | 5478 PINE CIRCLE, CORAL SPRINGS, FL, 33067 |
| Name | Role | Address |
|---|---|---|
| CASTILLO INGRID | President | 5478 PINE CIRCLE, CORAL SPRINGS, FL, 33067 |
| Name | Role | Address |
|---|---|---|
| CASTILLO INGRID | Director | 5478 PINE CIRCLE, CORAL SPRINGS, FL, 33067 |
| Name | Role | Address |
|---|---|---|
| CASTILLO GUSTAVO | Administrator | 5478 PINE CR., CORAL SPRINGS, FL, 33067 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-27 | 2900 NW 130th Avenue, Apt 311, Sunrise, FL 33323 | No data |
| CHANGE OF MAILING ADDRESS | 2022-05-27 | 2900 NW 130th Avenue, Apt 311, Sunrise, FL 33323 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CANCEL ADM DISS/REV | 2009-12-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2007-02-15 | CASTILLO, GUSTAVO | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-03-09 | 5478 PINE CIRCLE, CORAL SPRINGS, FL 33067 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-01-28 |
| ANNUAL REPORT | 2019-02-26 |
| ANNUAL REPORT | 2018-01-18 |
| ANNUAL REPORT | 2017-02-24 |
| ANNUAL REPORT | 2016-02-26 |
| ANNUAL REPORT | 2015-01-18 |
| ANNUAL REPORT | 2014-01-24 |
| ANNUAL REPORT | 2013-03-09 |
| ANNUAL REPORT | 2012-01-30 |
| ANNUAL REPORT | 2011-01-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
