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MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF BOCA RATON, P.A.

Company Details

Entity Name: MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF BOCA RATON, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 26 Sep 2011 (13 years ago)
Date of dissolution: 26 Apr 2013 (12 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 26 Apr 2013 (12 years ago)
Document Number: P11000084670
FEI/EIN Number 45-3560678
Mail Address: 2525 PONCE DE LEON BLVD STE 1225, CORAL GABLES, FL 33134
Address: 13195 SW 134 STREET 2ND FLOOR, MIAMI, FL 33186
ZIP code: 33186
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932483864 2011-10-11 2012-07-10 13195 SW 134TH ST FL 2, MIAMI, FL, 331864461, US 595 S FEDERAL HWY STE 130, BOCA RATON, FL, 334326096, US

Contacts

Phone +1 305-274-2499
Phone +1 561-826-7955

Authorized person

Name DR. MELVYN GOBER
Role CEO
Phone 3052742499

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary No
Taxonomy Code 1223P0221X - Pediatric Dentist
Is Primary Yes

Agent

Name Role
INTERAMERICAN CORPORATE SERVICES LLC Agent

Director

Name Role Address
GOBER, MELVYN Director 13195 SW 134 STREET, 2ND FLOOR, MIAMI, FL 33186

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G11000101006 MAIN STREET CHILDREN'S DENTISTRY OF BOCA RATON EXPIRED 2011-10-13 2016-12-31 No data 13195 SW 134 STREET, 2ND FLOOR, MIAMI, FL, 33186

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2013-04-26 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2013-04-26
ANNUAL REPORT 2012-04-25
Domestic Profit 2011-09-26

Date of last update: 24 Jan 2025

Sources: Florida Department of State