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VICTOR R GUTIERREZ, DMD, PA

Company Details

Entity Name: VICTOR R GUTIERREZ, DMD, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 19 Mar 2008 (17 years ago)
Document Number: P08000029404
FEI/EIN Number 262204006
Address: 16420 S W 1ST COURT, PEMBROKE PINES, FL, 33027
Mail Address: 16420 S W 1ST COURT, PEMBROKE PINES, FL, 33027
ZIP code: 33027
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164155511 2022-07-05 2022-07-05 7190 SW 87TH AVE STE 206, MIAMI, FL, 331732512, US 7190 SW 87TH AVE STE 206, MIAMI, FL, 331732512, US

Contacts

Phone +1 305-639-8272

Authorized person

Name DR. VICTOR RAFAEL GUTIERREZ
Role PRESIDENT/OWNER
Phone 3056398272

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Agent

Name Role Address
GUTIERREZ VICTOR R Agent 16420 S W 1ST COURT, PEMBROKE PINES, FL, 33027

President

Name Role Address
GUTIERREZ VICTOR R President 16420 S W 1ST COURT, PEMBROKE PINES, FL, 33027

Director

Name Role Address
GUTIERREZ VICTOR R Director 16420 S W 1ST COURT, PEMBROKE PINES, FL, 33027

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000049048 SMILE INNOVATIONS ACTIVE 2020-05-04 2025-12-31 No data 7190 SW 87TH AVENUE, SUITE 206, MIAMI, FL, 33173
G14000035744 SMILE INNOVATIONS EXPIRED 2014-04-09 2019-12-31 No data 7190 S.W. 87TH AVENUE, SUITE 206, MIAMI, FL, 33173

Documents

Name Date
ANNUAL REPORT 2024-04-19
ANNUAL REPORT 2023-04-30
ANNUAL REPORT 2022-05-03
ANNUAL REPORT 2021-05-02
ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2019-05-01
ANNUAL REPORT 2018-04-23
ANNUAL REPORT 2017-04-27
ANNUAL REPORT 2016-09-22
ANNUAL REPORT 2015-04-28

Date of last update: 02 Feb 2025

Sources: Florida Department of State