| Entity Name: | BRAVO DENTAL P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
BRAVO DENTAL P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic 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: | 02 Sep 2011 (14 years ago) |
| Document Number: | P11000078360 |
| FEI/EIN Number |
453169776
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 909 N MIAMI BEACH BLVD STE 501, N MIAMI BEACH, FL, 33162, US |
| Mail Address: | 20904 Leeward Ct suite 221, Aventura, FL, 33180, US |
| ZIP code: | 33162 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538436431 | 2011-11-19 | 2016-07-14 | 20904 LEEWARD CT, # 221, AVENTURA, FL, 331803873, US | 909 N MIAMI BEACH BLVD, SUITE 501, NORTH MIAMI BEACH, FL, 331623712, US | |||||||||||||||||||||||||
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| Phone | +1 305-496-3856 |
| Phone | +1 305-945-9333 |
Authorized person
| Name | MARIA ALEJANDRA YANEZ BRAVO |
| Role | PRESIDENT |
| Phone | 3054963856 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN19497 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004347700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| YANEZ BRAVO MARIA A | Director | 20904 Leeward Ct 221, Aventura, FL, 33180 |
| WAISMAN DIEGO A | Vice President | 20904 Leeward Ct 221, Aventura, FL, 33180 |
| waisman Diego A | Agent | 20904 Leeward ct 221, Aventura, FL, 33180 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-01-23 | 909 N MIAMI BEACH BLVD STE 501, N MIAMI BEACH, FL 33162 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2016-02-03 | 20904 Leeward ct 221, Aventura, FL 33180 | - |
| CHANGE OF MAILING ADDRESS | 2014-01-21 | 909 N MIAMI BEACH BLVD STE 501, N MIAMI BEACH, FL 33162 | - |
| REGISTERED AGENT NAME CHANGED | 2014-01-21 | waisman, Diego A | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-02-06 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-01-31 |
| ANNUAL REPORT | 2020-02-11 |
| ANNUAL REPORT | 2019-02-19 |
| ANNUAL REPORT | 2018-01-23 |
| ANNUAL REPORT | 2017-01-23 |
| ANNUAL REPORT | 2016-02-03 |
| ANNUAL REPORT | 2015-02-03 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1099527110 | 2020-04-09 | 0455 | PPP | 909 N MIAMI BEACH BLVD STE 501, NORTH MIAMI BEACH, FL, 33162 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
