| Entity Name: | MIAMI CHILDREN'S SMILES P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 26 Jul 2007 (18 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 02 Apr 2008 (17 years ago) |
| Document Number: | P07000084393 |
| FEI/EIN Number | 260700127 |
| Address: | 3850 BIRD ROAD, SUITE 301, MIAMI, FL, 33146, US |
| Mail Address: | 3850 BIRD ROAD, SUITE 301, MIAMI, FL, 33146, US |
| ZIP code: | 33146 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487989240 | 2009-10-13 | 2016-10-11 | 3850 BIRD RD, SUITE #301, MIAMI, FL, 331461501, US | 3850 BIRD RD, SUITE #301, MIAMI, FL, 331461501, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 305-445-9244 |
| Fax | 3054459245 |
Authorized person
| Name | DR. GABRIELA AURORA ROLLAND-ASENSI |
| Role | PRESIDENT |
| Phone | 3054459244 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| License Number | DN16434 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| License Number | DN21700 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 016814400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ASENSI JACOBO | Agent | 328 ALESIO AVE., CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| ASENSI GABRIELA | President | 328 ALESIO AVE., CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| ASENSI GABRIELA | Director | 328 ALESIO AVE., CORAL GABLES, FL, 33134 |
| ASENSI JACOBO | Director | 328 ALESIO AVE., CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| ASENSI JACOBO | Treasurer | 328 ALESIO AVE., CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| ASENSI JACOBO | Secretary | 328 ALESIO AVE., CORAL GABLES, FL, 33134 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2009-03-25 | 3850 BIRD ROAD, SUITE 301, MIAMI, FL 33146 | No data |
| CHANGE OF MAILING ADDRESS | 2009-03-25 | 3850 BIRD ROAD, SUITE 301, MIAMI, FL 33146 | No data |
| AMENDMENT | 2008-04-02 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-03-02 |
| ANNUAL REPORT | 2020-02-29 |
| ANNUAL REPORT | 2019-03-11 |
| ANNUAL REPORT | 2018-02-14 |
| ANNUAL REPORT | 2017-01-31 |
| ANNUAL REPORT | 2016-01-19 |
| ANNUAL REPORT | 2015-02-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
