| Entity Name: | PIKE PEDIATRIC DENTISTRY PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | P11000084140 |
| FEI/EIN Number | 453456618 |
| Address: | 2201 NW CORPORATE BOULEVARD, BOCA RATON, FL, 33431, US |
| Mail Address: | 2201 NW CORPORATE BOULEVARD, BOCA RATON, FL, 33431, US |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366715716 | 2012-02-15 | 2012-02-15 | 1865 NW BOCA RATON BLVD, STE 102, BOCA RATON, FL, 334321638, US | 1865 NW BOCA RATON BLVD, STE 102, BOCA RATON, FL, 334321638, US | |||||||||||||||||
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| Phone | +1 561-347-7006 |
Authorized person
| Name | DR. TALIA PIKE |
| Role | PEDIATRIC DENTIST |
| Phone | 9548569955 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| License Number | DN17596 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PIKE PEDIATRIC DENTISTRY PA RETIREMENT TRUST | 2021 | 453456618 | 2022-08-01 | PIKE PEDIATRIC DENTISTRY PA | 2 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2022-08-01 |
| Name of individual signing | PLAN SPONSOR |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 541600 |
| Sponsor’s telephone number | 5613477006 |
| Plan sponsor’s address | 2201 NW CORPORATE BLVD, STE 103, BOCA RATON, FL, 33431 |
Signature of
| Role | Plan administrator |
| Date | 2020-10-15 |
| Name of individual signing | PLAN SPONSOR |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| PIKE TALIA | Agent | 299 NW 20th Ave, BOCA RATON, FL, 33486 |
| Name | Role | Address |
|---|---|---|
| PIKE TALIA | President | 299 NW 20th Ave, BOCA RATON, FL, 33486 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-10-03 | 2201 NW CORPORATE BOULEVARD, SUITE 103, BOCA RATON, FL 33431 | No data |
| CHANGE OF MAILING ADDRESS | 2017-10-03 | 2201 NW CORPORATE BOULEVARD, SUITE 103, BOCA RATON, FL 33431 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-12 | 299 NW 20th Ave, BOCA RATON, FL 33486 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-02-22 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-01-12 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6054528410 | 2021-02-10 | 0455 | PPS | 2201 NW Corporate Blvd Ste 103, Boca Raton, FL, 33431-7337 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6474247703 | 2020-05-01 | 0455 | PPP | 2201 NW CORPORATE BLVD STE 103, BOCA RATON, FL, 33431-7337 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State
