| Entity Name: | FIRST DENTAL, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 13 Nov 2006 (18 years ago) |
| Document Number: | P06000142797 |
| FEI/EIN Number | 205880110 |
| Address: | 251 COMMERCIAL BLVD., LAUDERDALE BY THE SEA, FL, 33308 |
| Mail Address: | 251 COMMERCIAL BLVD., LAUDERDALE BY THE SEA, FL, 33308 |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427190024 | 2007-02-12 | 2020-08-22 | 2500 E COMMERCIAL BLVD, SUITE G, FT LAUDERDALE, FL, 333084124, US | 2500 E COMMERCIAL BLVD, SUITE G, FT LAUDERDALE, FL, 333084124, US | |||||||||||||||||||
|
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| Phone | +1 954-776-4440 |
| Fax | 9547764740 |
Authorized person
| Name | DR. TODD CHRISTOPHER PUSATERI |
| Role | OWNER PRESIDENT |
| Phone | 9547764440 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN17494 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PUSATERI TODD | Agent | 251 COMMERCIAL BLVD., LAUDERDALE BY THE SEA, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| PUSATERI TODD | Director | 251COMMERCIAL BLVD., LAUDERDALE BY THE SEA, FL, 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2012-01-04 | 251 COMMERCIAL BLVD., LAUDERDALE BY THE SEA, FL 33308 | No data |
| CHANGE OF MAILING ADDRESS | 2012-01-04 | 251 COMMERCIAL BLVD., LAUDERDALE BY THE SEA, FL 33308 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-01-04 | 251 COMMERCIAL BLVD., LAUDERDALE BY THE SEA, FL 33308 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-17 |
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-21 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-01-23 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-03-08 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-02-14 |
| ANNUAL REPORT | 2016-01-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
