| Entity Name: | MY DENTIST FOR LIFE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 28 Oct 2008 (16 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P08000097041 |
| FEI/EIN Number | 263621659 |
| Address: | 294 172ND AVE, PEMBROKE PINES, FL, 33029 |
| Mail Address: | 294 172ND AVE, PEMBROKE PINES, FL, 33029 |
| ZIP code: | 33029 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164668547 | 2009-01-06 | 2009-01-06 | 294 NW 172ND AVE, PEMBROKE PINES, FL, 330293196, US | 294 NW 172ND AVE, PEMBROKE PINES, FL, 330293196, US | |||||||||||||||||||
|
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| Phone | +1 954-432-3655 |
| Fax | 9544380334 |
Authorized person
| Name | DR. SABA MANZOOR RIZVI |
| Role | PRESIDENT |
| Phone | 9544323655 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | DN15321 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATE CREATIONS NETWORK INC. | Agent |
| Name | Role | Address |
|---|---|---|
| RIZVI SABA M | Director | 294 172ND AVE., PEMBROKE PINES, FL, 33029 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-27 | 294 172ND AVE, PEMBROKE PINES, FL 33029 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-27 | 294 172ND AVE, PEMBROKE PINES, FL 33029 | No data |
| NAME CHANGE AMENDMENT | 2008-11-03 | MY DENTIST FOR LIFE, P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-24 |
| ANNUAL REPORT | 2010-02-21 |
| ANNUAL REPORT | 2009-04-27 |
| Name Change | 2008-11-03 |
| Domestic Profit | 2008-10-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
