Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Palm Beach
    4. ›
  4. 33401
    5. ›
  5. FLORIDA INSTITUTE FOR PERIODONTICS & DENTAL IMPLANTS, P.A.

FLORIDA INSTITUTE FOR PERIODONTICS & DENTAL IMPLANTS, P.A. - Florida Company Profile

Company Details

Entity Name: FLORIDA INSTITUTE FOR PERIODONTICS & DENTAL IMPLANTS, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation

FLORIDA INSTITUTE FOR PERIODONTICS & DENTAL IMPLANTS, P.A. is structured as a Profit Corporation, also known as a C-Corporation, a business structure recognized as a separate legal entity from its owners. This structure offers the benefit of potential tax advantages and ease of raising capital through the issuance of stock.
In Florida, 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: 27 Apr 2011 (14 years ago)
Last Event: AMENDMENT
Event Date Filed: 03 Apr 2012 (13 years ago)
Document Number: P11000040889
FEI/EIN Number 45-2033205

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1515 NORTH FLAGLER DRIVE, SUITE 301, WEST PALM BEACH, FL 33401
Mail Address: 1515 NORTH FLAGLER DRIVE, SUITE 301, WEST PALM BEACH, FL 33401
ZIP code: 33401
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316225121 2011-07-27 2011-07-27 1515 N FLAGLER DR, SUITE 301, WEST PALM BEACH, FL, 334013428, US 1300 CORPORATE CENTER WAY, SUITE 204, WELLINGTON, FL, 334148599, US

Contacts
Phone +1 561-655-1700
Fax 5618530793
Phone +1 561-792-7084

Authorized person
Name DR. ROBERT HOLT
Role PRESIDENT/DENTIST
Phone 5616551700

Taxonomy
Taxonomy Code 1223P0300X - Periodontist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FL INSTITUTE FOR PERIO & DI, PA 401(K) PLAN 2023 452033205 2024-10-11 FLORIDA INSTITUTE FOR PERIODONTICS & DENTAL IMPLANTS, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-06-30
Business code 621210
Sponsor’s telephone number 5616551700
Plan sponsor’s address 1515 N FLAGLER DRIVE, SUITE 301, WEST PALM BEACH, FL, 33401

Signature of
Role Plan administrator
Date 2024-10-11
Name of individual signing MAURICIO GUTIERREZ
Valid signature Filed with authorized/valid electronic signature
FL INSTITUTE FOR PERIO & DI, PA 401(K) PLAN 2022 452033205 2023-07-07 FLORIDA INSTITUTE FOR PERIODONTICS & DENTAL IMPLANTS, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-06-30
Business code 621210
Sponsor’s telephone number 5616551700
Plan sponsor’s address 1515 N FLAGLER DRIVE, SUITE 301, WEST PALM BEACH, FL, 33401

Signature of
Role Plan administrator
Date 2023-07-07
Name of individual signing MAURICIO GUTIERREZ
Valid signature Filed with authorized/valid electronic signature
FL INSTITUTE FOR PERIO & DI, PA 401(K) PLAN 2021 452033205 2022-09-09 FLORIDA INSTITUTE FOR PERIODONTICS & DENTAL IMPLANTS, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-06-30
Business code 621210
Sponsor’s telephone number 5616551700
Plan sponsor’s address 1515 N FLAGLER DRIVE, SUITE 301, WEST PALM BEACH, FL, 33401

Signature of
Role Plan administrator
Date 2022-09-09
Name of individual signing MAURICIO GUTIERREZ
Valid signature Filed with authorized/valid electronic signature
FL INSTITUTE FOR PERIO & DI, PA 401(K) PLAN 2020 452033205 2021-04-09 FLORIDA INSTITUTE FOR PERIODONTICS & DENTAL IMPLANTS, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-06-30
Business code 621210
Sponsor’s telephone number 5616551700
Plan sponsor’s address 1515 N FLAGLER DRIVE, SUITE 301, WEST PALM BEACH, FL, 33401
FL INSTITUTE FOR PERIO & DI, PA 401(K) PLAN 2019 452033205 2020-09-17 FLORIDA INSTITUTE FOR PERIODONTICS & DENTAL IMPLANTS, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-06-30
Business code 621210
Sponsor’s telephone number 5616551700
Plan sponsor’s address 1515 N FLAGLER DRIVE, SUITE 301, WEST PALM BEACH, FL, 33401
FL INSTITUTE FOR PERIO & DI, P.A. 401(K) PLAN 2018 452033205 2019-07-09 FLORIDA INSTITUTE FOR PERIODONTICS & DENTAL IMPLANTS, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-06-30
Business code 621210
Sponsor’s telephone number 5616551700
Plan sponsor’s address 1515 NORTH FLAGLER DRIVE, SUITE 301, WEST PALM BEACH, FL, 33401
FL INSTITUTE FOR PERIO & DI, P.A. 401(K) PLAN 2015 452033205 2016-07-15 FLORIDA INSTITUTE FOR PERIODONTICS & DENTAL IMPLANTS, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-06-30
Business code 541214
Sponsor’s telephone number 5616551700
Plan sponsor’s address 1515 NORTH FLAGLER DRIVE, SUITE 301, WEST PALM BEACH, FL, 33401
FL INSTITUTE FOR PERIO & DI, P.A. 401(K) PLAN 2014 452033205 2015-04-21 FLORIDA INSTITUTE FOR PERIODONTICS & DENTAL IMPLANTS, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-06-30
Business code 541214
Sponsor’s telephone number 5616551700
Plan sponsor’s address 1515 NORTH FLAGLER DRIVE, SUITE 301, WEST PALM BEACH, FL, 33401

Signature of
Role Plan administrator
Date 2015-04-21
Name of individual signing ROBERT HOLT
Valid signature Filed with authorized/valid electronic signature
FL INSTITUTE FOR PERIO & DI, P.A. 401(K) PLAN 2013 452033205 2014-07-23 FLORIDA INSTITUTE FOR PERIODONTICS & DENTAL IMPLANTS, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-06-30
Business code 541214
Sponsor’s telephone number 5616551700
Plan sponsor’s address 1515 NORTH FLAGLER DRIVE, SUITE 301, WEST PALM BEACH, FL, 33401

Signature of
Role Plan administrator
Date 2014-07-23
Name of individual signing ROBERT HOLT
Valid signature Filed with authorized/valid electronic signature
FL INSTITUTE FOR PERIO & DI, P.A. 401(K) PLAN 2012 452033205 2013-09-30 FLORIDA INSTITUTE FOR PERIODONTICS & DENTAL IMPLANTS, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-06-30
Business code 541214
Sponsor’s telephone number 5616551700
Plan sponsor’s address 1515 NORTH FLAGLER DRIVE, SUITE 301, WEST PALM BEACH, FL, 33401

Signature of
Role Plan administrator
Date 2013-09-30
Name of individual signing ROBERT HOLT
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
Gutierrez, Mauricio A, Dr. Agent 1515 N. Flagler Drive, Suite #301, West Palm Beach, FL 33401
Gutierrez, Mauricio A, Dr. President 1515 N FLAGLER DR, #301 WEST PALM BEACH, FL 33401

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2020-03-19 Gutierrez, Mauricio A, Dr. -
REGISTERED AGENT ADDRESS CHANGED 2015-02-19 1515 N. Flagler Drive, Suite #301, West Palm Beach, FL 33401 -
AMENDMENT 2012-04-03 - -

Documents

Name Date
ANNUAL REPORT 2025-02-17
ANNUAL REPORT 2024-02-07
ANNUAL REPORT 2023-03-10
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-03-05
ANNUAL REPORT 2020-03-19
ANNUAL REPORT 2019-02-25
ANNUAL REPORT 2018-02-06
ANNUAL REPORT 2017-02-09
ANNUAL REPORT 2016-03-22

Companies related by officers

Gutierrez, Mauricio A, Dr.

P.E.R.I.O. STUDY CLUB, LLC - Active
Florida Limited Liability Company (2012 )

Companies related by address

No other companies in our directory share the same address as FLORIDA INSTITUTE FOR PERIODONTICS & DENTAL IMPLANTS, P.A.

Date of last update: 23 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated