| Entity Name: | CENTRAL FLORIDA DENTAL GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 11 Oct 2004 (20 years ago) |
| Document Number: | P04000140452 |
| FEI/EIN Number | 27-0110702 |
| Address: | 1804 Oakley Seaver Dr., STE.G, CLERMONT, FL 34711 |
| Mail Address: | 1804 Oakley Seaver Dr., STE.G, CLERMONT, FL 34711 |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801912233 | 2007-03-21 | 2011-07-25 | 16215 STATE ROAD 50 STE 102, CLERMONT, FL, 347116019, US | 16215 STATE ROAD 50 STE 102, CLERMONT, FL, 347116019, US | |||||||||||||||||||
|
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| Phone | +1 407-654-4024 |
| Fax | 4076544027 |
Authorized person
| Name | DR. CARLOS RODOLFO ORTIZ |
| Role | PRESIDENT |
| Phone | 4076544024 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | DN16410 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ORTIZ, CARLOS R | Agent | 1804 Oakley Seaver Dr., STE.G, CLERMONT, FL 34711 |
| Name | Role | Address |
|---|---|---|
| ORTIZ, IRIS N | Treasurer | 1804 Oakley Seaver Dr., STE.G CLERMONT, FL 34711 |
| Name | Role | Address |
|---|---|---|
| ORTIZ, CARLOS RODOLFO, Dr. | President | 1804 Oakley Seaver Dr., STE.G CLERMONT, FL 34711 |
| Name | Role | Address |
|---|---|---|
| ORTIZ, CARLOS RODOLFO, Dr. | Director | 1804 Oakley Seaver Dr., STE.G CLERMONT, FL 34711 |
| ORTIZ, IRIS N | Director | 1804 Oakley Seaver Dr., STE.G CLERMONT, FL 34711 |
| Name | Role | Address |
|---|---|---|
| ORTIZ, IRIS N | Secretary | 1804 Oakley Seaver Dr., STE.G CLERMONT, FL 34711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-08 | 1804 Oakley Seaver Dr., STE.G, CLERMONT, FL 34711 | No data |
| CHANGE OF MAILING ADDRESS | 2016-03-08 | 1804 Oakley Seaver Dr., STE.G, CLERMONT, FL 34711 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-08 | 1804 Oakley Seaver Dr., STE.G, CLERMONT, FL 34711 | No data |
| REGISTERED AGENT NAME CHANGED | 2007-02-20 | ORTIZ, CARLOS R | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-02-12 |
| ANNUAL REPORT | 2022-02-15 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-03-04 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-02-14 |
| ANNUAL REPORT | 2017-02-28 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 05 Jan 2025
Sources: Florida Department of State
