| Entity Name: | ANDREWS DENTAL CARE CENTER,P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 30 Sep 2009 (15 years ago) |
| Date of dissolution: | 19 Jan 2025 (12 days ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 19 Jan 2025 (12 days ago) |
| Document Number: | P09000081245 |
| FEI/EIN Number | 27-1200319 |
| Address: | 3909 N ANDREWS AVE, OAKLAND PARK, FL 33309 |
| Mail Address: | 3909 N ANDREWS AVE, OAKLAND PARK, FL 33309 |
| ZIP code: | 33309 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619277167 | 2010-11-01 | 2010-11-01 | 3909 N ANDREWS AVE, OAKLAND PARK, FL, 333095239, US | 3909 N ANDREWS AVE, OAKLAND PARK, FL, 333095239, US | |||||||||||||||||||||||
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| Phone | +1 954-561-6675 |
Authorized person
| Name | DR. MARILYN P RILEY |
| Role | PRESIDENT/DIRECTOR |
| Phone | 9545616675 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN17611 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 076272502 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RILEY, MARILYN | Agent | 3909 N. ANDREWS AVE, OAKLAND PARK, FL 33309 |
| Name | Role | Address |
|---|---|---|
| RILEY, MARILYN P, DMD | President | 3909 N. ANDREWS AVE, OAKLAND PARK, FL 33309 |
| Name | Role | Address |
|---|---|---|
| RILEY, MARILYN P, DMD | Secretary | 3909 N. ANDREWS AVE, OAKLAND PARK, FL 33309 |
| Name | Role | Address |
|---|---|---|
| RILEY, MARILYN P, DMD | Treasurer | 3909 N. ANDREWS AVE, OAKLAND PARK, FL 33309 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2025-01-19 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-29 | 3909 N ANDREWS AVE, OAKLAND PARK, FL 33309 | No data |
| NAME CHANGE AMENDMENT | 2010-06-15 | ANDREWS DENTAL CARE CENTER,P.A. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-04-19 | 3909 N. ANDREWS AVE, OAKLAND PARK, FL 33309 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2025-01-19 |
| ANNUAL REPORT | 2024-02-27 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-02-25 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-02-13 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-02-04 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
