| Entity Name: | CORAL SPRINGS FAMILY DENTISTRY AT AMERICARE PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 01 Aug 2008 (17 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | P08000072380 |
| FEI/EIN Number | 263100613 |
| Mail Address: | 11897 Preservation Lane, Boca Raton, FL, 33498, US |
| Address: | 6267 W. SAMPLE ROAD, CORAL SPRINGS, FL, 33067 |
| ZIP code: | 33067 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689822587 | 2008-09-04 | 2008-09-04 | 6267 W SAMPLE RD, CORAL SPRINGS, FL, 330673175, US | 6267 W SAMPLE RD, CORAL SPRINGS, FL, 330673175, US | |||||||||||||||||||
|
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| Phone | +1 954-341-4766 |
| Fax | 9542558131 |
Authorized person
| Name | DR. ILYA STEIN |
| Role | DENTIST |
| Phone | 9543414766 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN14972 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STEIN ILYA D | Agent | 6267 W. SAMPLE ROAD, CORAL SPRINGS, FL, 33067 |
| Name | Role | Address |
|---|---|---|
| STEIN ILYA D | President | 6267 W. SAMPLE ROAD, CORAL SPRINGS, FL, 33067 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2016-02-02 | 6267 W. SAMPLE ROAD, CORAL SPRINGS, FL 33067 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-03-26 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-02-07 |
| ANNUAL REPORT | 2016-02-02 |
| ANNUAL REPORT | 2015-01-09 |
| ANNUAL REPORT | 2014-01-12 |
| ANNUAL REPORT | 2013-01-10 |
| ANNUAL REPORT | 2012-01-07 |
| ANNUAL REPORT | 2011-01-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
