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GABRIELA A. BOZZUTI, D.D.S., P.A.

Company Details

Entity Name: GABRIELA A. BOZZUTI, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 29 Sep 2009 (15 years ago)
Document Number: P09000080670
FEI/EIN Number 271033718
Address: 2751 Executive Park Drive, WESTON, FL, 33331, US
Mail Address: 1409 BANYAN WAY, WESTON, FL, 33327, US
ZIP code: 33331
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730533241 2016-04-20 2016-04-20 1409 BANYAN WAY, WESTON, FL, 333271622, US 2751 EXECUTIVE PARK DR, SUITE 204, WESTON, FL, 333313660, US

Contacts

Phone +1 954-706-6440

Authorized person

Name DR. GABRIELA A. BOZZUTI
Role PRESIDENT
Phone 9547066440

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number 18805
State FL
Is Primary Yes

Agent

Name Role Address
BOZZUTI GABRIELA A Agent 1409 BANYAN WAY, WESTON, FL, 33327

President

Name Role Address
BOZZUTI GABRIELA A President 1409 BANYAN WAY, WESTON, FL, 33327

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000029822 DENTAL WELLNESS AT WESTON ACTIVE 2016-03-22 2026-12-31 No data 1409 BANYAN WAY, WESTON, FL, 33327

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2016-03-22 2751 Executive Park Drive, Suite 204, WESTON, FL 33331 No data

Documents

Name Date
ANNUAL REPORT 2024-04-08
ANNUAL REPORT 2023-05-09
ANNUAL REPORT 2022-04-07
ANNUAL REPORT 2021-04-17
ANNUAL REPORT 2020-05-24
ANNUAL REPORT 2019-04-11
ANNUAL REPORT 2018-04-13
ANNUAL REPORT 2017-04-10
ANNUAL REPORT 2016-03-22
ANNUAL REPORT 2015-04-17

Date of last update: 01 Feb 2025

Sources: Florida Department of State