| Entity Name: | MIGUEL FERNANDO BORDA, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 15 Jul 2011 (14 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 07 Nov 2019 (5 years ago) |
| Document Number: | P11000064151 |
| FEI/EIN Number | 45-2836496 |
| Address: | 1825 Forest Hill Blvd Suite 205, West Palm Beach, FL 33406 |
| Mail Address: | 1825 Forest Hill Blvd Suite 205, West Palm Beach, FL 33406 |
| ZIP code: | 33406 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841642360 | 2016-07-08 | 2016-07-08 | 3500 N STATE ROAD 7, SUITE 150, LAUDERDALE LAKES, FL, 333195600, US | 1825 FOREST HILL BLVD, SUITE 205, WEST PALM BEACH, FL, 334068902, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-733-9099 |
Authorized person
| Name | DR. MIGUEL FERNANDO BORDA |
| Role | PRESIDENT/DENTIST |
| Phone | 5617339099 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN19392 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN19924 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN19469 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN16482 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN19526 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN21393 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN20909 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN19470 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| License Number | DN19160 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| FERNANDO BORDA, MIGUEL | Agent | 1825 Forest Hill Blvd Suite 205, West Palm Beach, FL 33406 |
| Name | Role | Address |
|---|---|---|
| BORDA, MIGUEL F | President | 1825 Forest Hill Blvd Suite 205, West Palm Beach, FL 33406 |
| Name | Role | Address |
|---|---|---|
| BORDA, MIGUEL F | Treasurer | 1825 Forest Hill Blvd Suite 205, West Palm Beach, FL 33406 |
| Name | Role | Address |
|---|---|---|
| BORDA, MIGUEL F | Director | 1825 Forest Hill Blvd Suite 205, West Palm Beach, FL 33406 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000112703 | OPTIONS HEALTHCARE EQUIPMENT | EXPIRED | 2016-10-17 | 2021-12-31 | No data | 478 SW 12TH AVE, DEERFIELD BEACH, FL, 33442 |
| G12000041020 | BGR DENTAL | ACTIVE | 2012-05-01 | 2027-12-31 | No data | 1825 FOREST HILL BLVD, STE 205, WEST PALM BEACH, FL, 33406 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2019-11-07 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-11-07 | FERNANDO BORDA, MIGUEL | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-11-07 | 1825 Forest Hill Blvd Suite 205, West Palm Beach, FL 33406 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-08 | 1825 Forest Hill Blvd Suite 205, West Palm Beach, FL 33406 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-08 | 1825 Forest Hill Blvd Suite 205, West Palm Beach, FL 33406 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| ANNUAL REPORT | 2023-03-27 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-02-23 |
| ANNUAL REPORT | 2020-06-17 |
| Amendment | 2019-11-07 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-01-13 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
