| Entity Name: | SOUTHLAND MALL DENTAL, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 11 May 2011 (14 years ago) |
| Document Number: | P11000045672 |
| FEI/EIN Number | 45-2383553 |
| Address: | 20505 SOUTH DIXIE HWY, Suite 1683, MIAMI, FL 33189 |
| Mail Address: | C/O Rostislav Krasnov, DDS, 333 SE 2nd Ave., Suite 2520, MIAMI, FL 33131 |
| ZIP code: | 33189 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023381183 | 2012-02-20 | 2018-12-03 | 20505 S DIXIE HWY, STE 1683, CUTLER BAY, FL, 331891229, US | 20505 S DIXIE HWY, STE 1683, CUTLER BAY, FL, 331891229, US | |||||||||||||||
|
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| Phone | +1 305-245-0308 |
| Fax | 9548467170 |
Authorized person
| Name | ROSTISLAV KRASNOV |
| Role | OWNER |
| Phone | 3052450308 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Krasnov, Rostislav | Agent | C/O Rostislav Krasnov, DDS, 333 SE 2nd Ave., Suite 2520, MIAMI, FL 33131 |
| Name | Role | Address |
|---|---|---|
| KRASNOV, ROSTISLAV DDS | Director | 17749 Collins Ave., Suite 2902 Sunny Isles Beach, FL 33160 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000080292 | STOMATCARE | EXPIRED | 2017-07-27 | 2022-12-31 | No data | 15516-15552 SW 88TH ST, MIAMI, FL, 33196 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2019-02-10 | Krasnov, Rostislav | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-03-11 | 20505 SOUTH DIXIE HWY, Suite 1683, MIAMI, FL 33189 | No data |
| CHANGE OF MAILING ADDRESS | 2015-03-11 | 20505 SOUTH DIXIE HWY, Suite 1683, MIAMI, FL 33189 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-03-11 | C/O Rostislav Krasnov, DDS, 333 SE 2nd Ave., Suite 2520, MIAMI, FL 33131 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-03-21 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-02-10 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-02-07 |
| ANNUAL REPORT | 2016-02-08 |
| ANNUAL REPORT | 2015-03-11 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
