| Entity Name: | MICHEL MATOUK, MD, DDS, PA. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 15 Feb 2005 (20 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 18 Oct 2017 (7 years ago) |
| Document Number: | P05000023796 |
| FEI/EIN Number | 20-2331928 |
| Address: | 2600 E. Commercial Blvd, Suite 200, FORT LAUDERDALE, FL 33308 |
| Mail Address: | 2600 E. Commercial Blvd, Suite 200, FORT LAUDERDALE, FL 33308 |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730241654 | 2006-12-15 | 2020-02-28 | 2600 EAST COMMERCIAL BLVD, SUITE 200, FORT LAUDERDALE, FL, 33308, US | 2600 EAST COMMERCIAL BLVD, SUITE 200, FORT LAUDERDALE, FL, 33308, US | |||||||||||||||||||
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| Phone | +1 954-566-0300 |
| Fax | 9545669066 |
Authorized person
| Name | MICHEL MATOUK |
| Role | ORAL SURGEON |
| Phone | 9545660300 |
Taxonomy
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| License Number | DN15692 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MATOUK, MICHEL | Agent | 2727 NE 14 Street, Unit 1, Fort Lauderdale, FL 33304 |
| Name | Role | Address |
|---|---|---|
| MATOUK, MICHEL | Director | 2727 NE 14 Street, Unit 1 Fort Lauderdale, FL 33304 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2017-10-18 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-10-18 | MATOUK, MICHEL | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-01-25 | 2727 NE 14 Street, Unit 1, Fort Lauderdale, FL 33304 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-03-21 | 2600 E. Commercial Blvd, Suite 200, FORT LAUDERDALE, FL 33308 | No data |
| CHANGE OF MAILING ADDRESS | 2014-03-21 | 2600 E. Commercial Blvd, Suite 200, FORT LAUDERDALE, FL 33308 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-04-26 |
| REINSTATEMENT | 2017-10-18 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-05-01 |
Date of last update: 29 Jan 2025
Sources: Florida Department of State
