| Entity Name: | PONCE DENTAL CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Dec 2007 (17 years ago) |
| Document Number: | P07000133125 |
| FEI/EIN Number | 261677775 |
| Address: | 3190 PONCE DE LEON BLVD., CORAL GABLES, FL, 33134 |
| Mail Address: | 3190 PONCE DE LEON BLVD., CORAL GABLES, FL, 33134 |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710236161 | 2012-08-31 | 2012-08-31 | 3190 PONCE DE LEON BLVD, CORAL GABLES, FL, 331346826, US | 3190 PONCE DE LEON BLVD, CORAL GABLES, FL, 331346826, US | |||||||||||||||||
|
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| Phone | +1 305-774-7273 |
Authorized person
| Name | DR. MANUEL G LOPEZ |
| Role | PRESIDENT |
| Phone | 3057747273 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN12998 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SERRANO RALPH | Agent | 9425 SW 72 ST, MIAMI, FL, 33173 |
| Name | Role | Address |
|---|---|---|
| LOPEZ MANUEL G | President | 3190 PONCE DE LEON BLVD., CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| LOPEZ MANUEL G | Secretary | 3190 PONCE DE LEON BLVD., CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| LOPEZ MANUEL G | Treasurer | 3190 PONCE DE LEON BLVD., CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| LOPEZ PATRICIA C | Vice President | 3190 PONCE DE LEON BLVD., CORAL GABLES, FL, 33134 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2012-04-27 | SERRANO, RALPH | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-27 | 9425 SW 72 ST, SUITE 233, MIAMI, FL 33173 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-02-16 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
