| Entity Name: | GATEWAY DENTAL INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 Jan 2006 (19 years ago) |
| Document Number: | P06000005902 |
| FEI/EIN Number | 204086611 |
| Address: | 2375 SW 27 AVE, MIAMI, FL, 33145, US |
| Mail Address: | 2375 SW 27 AVE, MIAMI, FL, 33145, US |
| ZIP code: | 33145 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063869774 | 2016-05-23 | 2019-07-23 | 1440 NE MIAMI GARDENS DRIVE, MIAMI GARDENS, FL, 33179, US | 1440 NE MIAMI GARDENS DRIVE, SUITE 201, MIAMI GARDENS, FL, 33179, US | |||||||||||||||||||||||||
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| Phone | +1 305-856-2300 |
| Fax | 3058560921 |
Authorized person
| Name | DR. PABLO MIRANDA |
| Role | OWNER |
| Phone | 3058562300 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN15212 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 101379500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| YANES ALAIN J | Agent | 10120 SW 40 TERRACE, MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| MIRANDA PABLO E | President | 2375 SW 27 AVENUE, MIAMI, FL, 33145 |
| Name | Role | Address |
|---|---|---|
| PERROTTI STEVEN D | Vice President | 2375 SW 27 AVENUE, MIAMI, FL, 33145 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-28 | 10120 SW 40 TERRACE, MIAMI, FL 33165 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-02-06 | 2375 SW 27 AVE, MIAMI, FL 33145 | No data |
| CHANGE OF MAILING ADDRESS | 2007-02-06 | 2375 SW 27 AVE, MIAMI, FL 33145 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-03-23 |
| ANNUAL REPORT | 2020-06-23 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
