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SOUTH FLORIDA DENTAL SURGICAL SPECIALISTS, P.A. - Florida Company Profile

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Company Details

Entity Name: SOUTH FLORIDA DENTAL SURGICAL SPECIALISTS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 03 Dec 2010 (15 years ago)
Document Number: P10000098102
FEI/EIN Number 45-4640768
Address: 1401 University Drive, CORAL SPRINGS, FL, 33071, US
Mail Address: 1401 University Drive, CORAL SPRINGS, FL, 33071, US
ZIP code: 33071
City: Coral Springs
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ELLIOT JEFFREY President 1401 University Drive, CORAL SPRINGS, FL, 33071
ELLIOT SAMRA Vice President 1401 University Drive, CORAL SPRINGS, FL, 33071
Elliot Jeffrey F Agent 1401 University Drive, CORAL SPRINGS, FL, 33071

National Provider Identifier

NPI Number:
1376890673

Authorized Person:

Name:
DR. JEFFREY F. ELLIOT
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
Yes

Contacts:

Fax:
9543408488

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000092026 SOUTH FLORIDA CENTER FOR IMPLANTS AND ORAL SURGERY EXPIRED 2012-09-19 2017-12-31 - 9600 WEST SAMPLE ROAD, SUITE 504, CORAL SPRINGS, FL, 33065

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-04-28 Elliot, Jeffrey F -
REGISTERED AGENT ADDRESS CHANGED 2022-04-28 9600 WEST SAMPLE ROAD, SUITE 504, CORAL SPRINGS, FL 33065 -
CHANGE OF MAILING ADDRESS 2018-04-28 9600 WEST SAMPLE ROAD, SUITE 504, CORAL SPRINGS, FL 33065 -
CHANGE OF PRINCIPAL ADDRESS 2013-04-24 9600 WEST SAMPLE ROAD, SUITE 504, CORAL SPRINGS, FL 33065 -

Documents

Name Date
ANNUAL REPORT 2024-04-21
ANNUAL REPORT 2023-04-09
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-06-07
ANNUAL REPORT 2019-04-23
ANNUAL REPORT 2018-04-28
ANNUAL REPORT 2017-04-24
ANNUAL REPORT 2016-04-21
ANNUAL REPORT 2015-04-11

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Date of last update: 01 Aug 2025

Sources: Florida Department of State