| Entity Name: | WILLIAM A. PENA, DMD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
WILLIAM A. PENA, DMD, PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 16 Sep 2009 (16 years ago) |
| Document Number: | P09000078671 |
| FEI/EIN Number |
NOT APPLICABLE
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2970 Brandywine Road, Suite 200, Atlanta, GA, 30341, US |
| Mail Address: | 2970 Brandywine Road, Suite 200, Atlanta, GA, 30341, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720374838 | 2011-06-27 | 2011-06-27 | 10021 PINES BLVD, SUITE 100, PEMBROKE PINES, FL, 330246191, US | 10021 PINES BLVD, SUITE 100, PEMBROKE PINES, FL, 330246191, US | |||||||||||||||||||||||||
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| Phone | +1 954-417-1337 |
| Fax | 9544171338 |
Authorized person
| Name | DR. WILLIAM ANTONIO PENA |
| Role | OWNER/PRESIDENT |
| Phone | 4152166649 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| License Number | DN17608 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000641100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Santiago Gerardo | Auth | 2970 Brandywine Road, Atlanta, GA, 30341 |
| Santiago Gerardo | President | 2970 Brandywine Road, Atlanta, GA, 30341 |
| CT CORPORATION SYSTEM | Agent | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000075614 | AMERICAN PEDIATRIC DENTAL GROUP | ACTIVE | 2011-07-29 | 2026-12-31 | - | 10021 PINES BLVD., SUITE #100, PEMBROKE PINES, FL, 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-05 | 2970 Brandywine Road, Suite 200, Atlanta, GA 30341 | - |
| CHANGE OF MAILING ADDRESS | 2024-04-05 | 2970 Brandywine Road, Suite 200, Atlanta, GA 30341 | - |
| REGISTERED AGENT NAME CHANGED | 2021-09-14 | CT CORPORATION SYSTEM | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-09-14 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-05 |
| ANNUAL REPORT | 2023-02-23 |
| ANNUAL REPORT | 2022-03-24 |
| Reg. Agent Change | 2021-09-14 |
| ANNUAL REPORT | 2021-04-25 |
| ANNUAL REPORT | 2020-06-25 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-03-08 |
| ANNUAL REPORT | 2017-02-02 |
| ANNUAL REPORT | 2016-01-25 |
| FAIN | Awarding Agency | Assistance Listings | Start Date | End Date | Description | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4247365005 | Small Business Administration | 59.012 - 7(A) LOAN GUARANTEES | - | - | TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE | |||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
