| Entity Name: | HIALEAH DENTAL CARE INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Oct 2005 (19 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 15 Oct 2009 (15 years ago) |
| Document Number: | P05000135583 |
| FEI/EIN Number | 203580413 |
| Address: | 4240 W 16 AVE, HIALEAH, FL, 33012, US |
| Mail Address: | 4240 WEST 16 AVE, HIALEAH, FL, 33012, US |
| ZIP code: | 33012 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720179195 | 2006-09-28 | 2020-08-22 | 4240 WEST 16 AVE, HIALEAH, FL, 33012, US | 4240 WEST 16 AVE, HIALEAH, FL, 33012, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 305-823-1882 |
| Fax | 3058190275 |
Authorized person
| Name | ROXANN RODRIGUEZ |
| Role | DENTISTA |
| Phone | 3058231882 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN17094 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN11884 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| License Number | DN12879 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ ROXANA | Agent | 4240 W 16 AVE, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ ROXANA | President | 4240 W 16 AVE, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ ROXANA | Vice President | 4240 W 16 AVE, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| CENTENO LUIS E | Administrator | 4744 SW 195th WAY, MIRAMAR, FL, 33029 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2013-04-22 | 4240 W 16 AVE, HIALEAH, FL 33012 | No data |
| CANCEL ADM DISS/REV | 2009-10-15 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-09-19 |
| ANNUAL REPORT | 2021-04-20 |
| ANNUAL REPORT | 2020-06-25 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-11 |
| AMENDED ANNUAL REPORT | 2017-11-20 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
