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SOUTH PEARL DENTAL, INC.

Company Details

Entity Name: SOUTH PEARL DENTAL, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 04 Oct 2010 (14 years ago)
Document Number: P10000080617
FEI/EIN Number 273590029
Address: 8903 Glades Rd, BOCA RATON, FL, 33434, US
Mail Address: 8903 Glades Rd, BOCA RATON, FL, 33434, US
ZIP code: 33434
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396377172 2020-02-10 2020-02-10 8665 VIA ANCHO RD, BOCA RATON, FL, 334332227, US 8903 GLADES RD STE A7, BOCA RATON, FL, 334344023, US

Contacts

Phone +1 352-727-8547

Authorized person

Name DR. MARIANGEL FERNANDEZ-MARTINEZ
Role PRESIDENT/OWNER
Phone 3527278547

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role Address
KASSEBAUM KEVIN P Agent 7900 Glades Road, BOCA RATON, FL, 33434

President

Name Role Address
FERNANDEZ-MARTINEZ MARIANGEL President 8903 Glades Rd, BOCA RATON, FL, 33434

Director

Name Role Address
FERNANDEZ-MARTINEZ MARIANGEL Director 8903 Glades Rd, BOCA RATON, FL, 33434

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-02-03 7900 Glades Road, Suite 445, BOCA RATON, FL 33434 No data
CHANGE OF PRINCIPAL ADDRESS 2021-03-15 8903 Glades Rd, A7, BOCA RATON, FL 33434 No data
CHANGE OF MAILING ADDRESS 2021-03-15 8903 Glades Rd, A7, BOCA RATON, FL 33434 No data

Documents

Name Date
ANNUAL REPORT 2024-01-23
ANNUAL REPORT 2023-01-05
ANNUAL REPORT 2022-02-03
ANNUAL REPORT 2021-03-15
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-02-09
ANNUAL REPORT 2018-02-17
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-04-29
ANNUAL REPORT 2015-01-11

Date of last update: 02 Jan 2025

Sources: Florida Department of State