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PEDIATRIC DENTAL CENTERS OF MIAMI, INC.

Company Details

Entity Name: PEDIATRIC DENTAL CENTERS OF MIAMI, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 Aug 2005 (20 years ago)
Last Event: AMENDMENT
Event Date Filed: 04 Dec 2014 (10 years ago)
Document Number: P05000107207
FEI/EIN Number 203270322
Address: 2645 Douglas Rd., MIAMI, FL, 33133, US
Mail Address: 2645 Douglas Rd., MIAMI, FL, 33133, US
ZIP code: 33133
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881805257 2007-05-25 2020-08-22 2645 SW 37TH AVE, SUITE 703, MIAMI, FL, 331332754, US 2645 SW 37TH AVE, SUITE 703, MIAMI, FL, 331332754, US

Contacts

Phone +1 305-448-3228
Fax 3054478828

Authorized person

Name DR. ENRIQUE ACOSTA
Role PRESIDENT
Phone 3054483228

Taxonomy

Taxonomy Code 1223P0221X - Pediatric Dentist
License Number DN17284
State FL
Is Primary Yes

Agent

Name Role Address
ACOSTA ENRIQUE Agent 2645 Douglas Rd., MIAMI, FL, 33133

President

Name Role Address
ACOSTA ENRIQUE President 2645 Douglas Rd., MIAMI, FL, 33133

Events

Event Type Filed Date Value Description
AMENDMENT 2014-12-04 No data No data
CHANGE OF PRINCIPAL ADDRESS 2014-04-08 2645 Douglas Rd., Suite 703, MIAMI, FL 33133 No data
CHANGE OF MAILING ADDRESS 2014-04-08 2645 Douglas Rd., Suite 703, MIAMI, FL 33133 No data
REGISTERED AGENT ADDRESS CHANGED 2014-04-08 2645 Douglas Rd., Suite 703, MIAMI, FL 33133 No data

Documents

Name Date
ANNUAL REPORT 2024-02-16
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-01-18
ANNUAL REPORT 2021-02-21
ANNUAL REPORT 2020-01-14
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-01-06
ANNUAL REPORT 2016-02-17
ANNUAL REPORT 2015-04-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4989298409 2021-02-07 0455 PPS 2645 SW 37th Ave Ste 703, Miami, FL, 33133-2745
Loan Status Date 2022-04-14
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 44390
Loan Approval Amount (current) 44390
Undisbursed Amount 0
Franchise Name -
Lender Location ID 12096
Servicing Lender Name Wells Fargo Bank, National Association
Servicing Lender Address 101 N Philips Ave, SIOUX FALLS, SD, 57104-6738
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Miami, MIAMI-DADE, FL, 33133-2745
Project Congressional District FL-27
Number of Employees 19
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 12096
Originating Lender Name Wells Fargo Bank, National Association
Originating Lender Address SIOUX FALLS, SD
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 44875.25
Forgiveness Paid Date 2022-03-17

Date of last update: 02 Feb 2025

Sources: Florida Department of State