| Entity Name: | MAIN STREET ORTHODONTICS OF MIAMI LAKES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 03 Mar 2006 (19 years ago) |
| Document Number: | P06000031984 |
| FEI/EIN Number | 204447481 |
| Mail Address: | 6240 Lake Osprey Dr., Sarasota, FL, 34240, US |
| Address: | 15600 NW 67TH AVENUE, SUITE 110, MIAMI LAKES, FL, 33014 |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154653913 | 2010-02-04 | 2012-07-10 | 13195 SW 134TH ST, 2ND FLOOR, MIAMI, FL, 331864461, US | 15600 NW 67TH AVE, SUITE 110, MIAMI LAKES, FL, 330142174, US | |||||||||||||||||||
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| Phone | +1 305-274-2499 |
| Fax | 3052749312 |
| Phone | +1 305-823-8831 |
| Fax | 3058238799 |
Authorized person
| Name | DR. MELVYN GOBER |
| Role | CEO |
| Phone | 3052742499 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Gallo Donald | Director | 13195 SW 134TH STREET 2ND FLOOR, MIAMI, FL, 33186 |
| WEISS JEFFREY | Director | 6240 Lake Osprey Dr., Sarasota, FL, 34240 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000016741 | MAIN STREET CHILDREN'S DENTISTRY OF MIAMI LAKES | EXPIRED | 2018-01-31 | 2023-12-31 | No data | 6240 LAKE OSPREY DRIVE, SARASOTA, FL, 34240 |
| G10000006788 | MAIN STREET CHILDREN'S DENTISTRY OF MIAMI LAKES | EXPIRED | 2010-01-21 | 2015-12-31 | No data | 15600 NW 67TH AVE., 110, MIAMI LAKES, FL, 33014 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-05-13 | C T CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-05-13 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| CHANGE OF MAILING ADDRESS | 2013-04-26 | 15600 NW 67TH AVENUE, SUITE 110, MIAMI LAKES, FL 33014 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-04-26 | 15600 NW 67TH AVENUE, SUITE 110, MIAMI LAKES, FL 33014 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-04-18 |
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-03-31 |
| ANNUAL REPORT | 2016-03-30 |
| ANNUAL REPORT | 2015-03-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
