Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Martin
    4. ›
  4. 34994
    5. ›
  5. STUART PEDIATRIC DENTISTRY, P.A.

STUART PEDIATRIC DENTISTRY, P.A.

Company Details

Entity Name: STUART PEDIATRIC DENTISTRY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 Jan 2012 (13 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 27 Feb 2014 (11 years ago)
Document Number: P12000005739
FEI/EIN Number 454321417
Address: 900 SE OCEAN BLVD, SUITE B-118, STUART, FL, 34994, US
Mail Address: 900 SE OCEAN BLVD, SUITE B-118, STUART, FL, 34994, US
ZIP code: 34994
County: Martin
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043586779 2012-03-27 2012-03-27 800 SE OCEAN BLVD, SUITE A, STUART, FL, 349942448, US 800 SE OCEAN BLVD, SUITE A, STUART, FL, 349942448, US

Contacts
Phone +1 772-600-5130
Fax 7726005523

Authorized person
Name DR. LUIS A MATOS
Role PRESIDENT
Phone 7726005130

Taxonomy
Taxonomy Code 122300000X - Dentist
Is Primary No
Taxonomy Code 1223D0001X - Public Health Dentist
Is Primary No
Taxonomy Code 1223E0200X - Endodontist
Is Primary No
Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary No
Taxonomy Code 1223P0106X - Oral and Maxillofacial Pathology Dentist
Is Primary No
Taxonomy Code 1223P0221X - Pediatric Dentist
Is Primary Yes
Taxonomy Code 1223P0300X - Periodontist
Is Primary No
Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary No
Taxonomy Code 124Q00000X - Dental Hygienist
Is Primary No
Taxonomy Code 126800000X - Dental Assistant
Is Primary No
Taxonomy Code 126900000X - Dental Laboratory Technician
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
STUART PEDIATRIC DENTISTRY, P.A., 401(K) PROFIT SHARING PLAN 2023 454321417 2024-06-13 STUART PEDIATRIC DENTISTRY, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 7726005130
Plan sponsor’s address 900 SE OCEAN BOULEVARD, STE. 118-B, STUART, FL, 34994

Signature of
Role Plan administrator
Date 2024-06-13
Name of individual signing MONICA MATOS
Valid signature Filed with authorized/valid electronic signature
STUART PEDIATRIC DENTISTRY, P.A., 401(K) PROFIT SHARING PLAN 2022 454321417 2023-05-10 STUART PEDIATRIC DENTISTRY, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 7726005130
Plan sponsor’s address 900 SE OCEAN BOULEVARD, STE. 118-B, STUART, FL, 34994

Signature of
Role Plan administrator
Date 2023-05-10
Name of individual signing MONICA MATOS
Valid signature Filed with authorized/valid electronic signature
STUART PEDIATRIC DENTISTRY, P.A., 401(K) PROFIT SHARING PLAN 2021 454321417 2022-06-23 STUART PEDIATRIC DENTISTRY, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 7726005130
Plan sponsor’s address 900 SE OCEAN BOULEVARD, STE. 118-B, STUART, FL, 34994

Signature of
Role Plan administrator
Date 2022-06-23
Name of individual signing MONICA MATOS
Valid signature Filed with authorized/valid electronic signature
STUART PEDIATRIC DENTISTRY, P.A., 401(K) PROFIT SHARING PLAN 2020 454321417 2021-03-11 STUART PEDIATRIC DENTISTRY, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 7726005130
Plan sponsor’s address 900 S.E. OCEAN BOULEVARD, SUITE 118, STUART, FL, 34994

Signature of
Role Plan administrator
Date 2021-03-11
Name of individual signing MONICA MATOS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-03-11
Name of individual signing MONICA MATOS
Valid signature Filed with authorized/valid electronic signature
STUART PEDIATRIC DENTISTRY, P.A., 401(K) PROFIT SHARING PLAN 2019 454321417 2020-07-16 STUART PEDIATRIC DENTISTRY, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 7726005130
Plan sponsor’s address 900 S.E. OCEAN BOULEVARD, SUITE 118, STUART, FL, 34994

Signature of
Role Plan administrator
Date 2020-07-16
Name of individual signing MONICA MATOS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-16
Name of individual signing MONICA MATOS
Valid signature Filed with authorized/valid electronic signature
STUART PEDIATRIC DENTISTRY, P.A., 401(K) PROFIT SHARING PLAN 2018 454321417 2019-07-29 STUART PEDIATRIC DENTISTRY, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 7726005130
Plan sponsor’s address 900 S.E. OCEAN BOULEVARD, SUITE 118, STUART, FL, 34994

Signature of
Role Plan administrator
Date 2019-07-29
Name of individual signing MONICA MATOS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-29
Name of individual signing MONICA MATOS
Valid signature Filed with authorized/valid electronic signature
STUART PEDIATRIC DENTISTRY, P.A., 401(K) PROFIT SHARING PLAN 2017 454321417 2018-06-22 STUART PEDIATRIC DENTISTRY, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 7726005130
Plan sponsor’s address 900 S.E. OCEAN BOULEVARD, SUITE 118, STUART, FL, 34994

Signature of
Role Plan administrator
Date 2018-06-22
Name of individual signing MONICA MATOS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-22
Name of individual signing MONICA MATOS
Valid signature Filed with authorized/valid electronic signature
STUART PEDIATRIC DENTISTRY, P.A., 401(K) PROFIT SHARING PLAN 2016 454321417 2017-08-19 STUART PEDIATRIC DENTISTRY, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 7726005130
Plan sponsor’s address 900 S.E. OCEAN BOULEVARD, SUITE 118, STUART, FL, 34994

Signature of
Role Plan administrator
Date 2017-08-19
Name of individual signing MONICA MATOS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-19
Name of individual signing MONICA MATOS
Valid signature Filed with authorized/valid electronic signature
STUART PEDIATRIC DENTISTRY, P.A., 401(K) PROFIT SHARING PLAN 2015 454321417 2016-10-13 STUART PEDIATRIC DENTISTRY, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 7726005130
Plan sponsor’s address 800 S.E. OCEAN BOULEVARD, SUITE A, STUART, FL, 34994

Signature of
Role Plan administrator
Date 2016-10-13
Name of individual signing MONICA MATOS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-13
Name of individual signing MONICA MATOS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Matos Monica Agent 900 SE Ocean Blvd, Stuart, FL, 34994

President

Name Role Address
MATOS LUIS A President 900 SE OCEAN BLVD, STUART, FL, 34994

Vice President

Name Role Address
Matos Monica Vice President 900 SE OCEAN BLVD, STUART, FL, 34994

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000021487 STUART PEDIATRIC DENTISTRY EXPIRED 2012-03-02 2017-12-31 No data 800 E. OCEAN BLVD., STUART, FL, 34997

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2017-04-10 900 SE OCEAN BLVD, SUITE B-118, STUART, FL 34994 No data
CHANGE OF MAILING ADDRESS 2017-04-10 900 SE OCEAN BLVD, SUITE B-118, STUART, FL 34994 No data
REGISTERED AGENT ADDRESS CHANGED 2017-04-10 900 SE Ocean Blvd, Suite B-118, Stuart, FL 34994 No data
REGISTERED AGENT NAME CHANGED 2016-04-25 Matos, Monica No data
REINSTATEMENT 2014-02-27 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-13
ANNUAL REPORT 2023-02-02
ANNUAL REPORT 2022-04-11
ANNUAL REPORT 2021-03-04
ANNUAL REPORT 2020-05-19
ANNUAL REPORT 2019-03-04
ANNUAL REPORT 2018-03-28
ANNUAL REPORT 2017-04-10
ANNUAL REPORT 2016-04-25
ANNUAL REPORT 2015-03-09

Related by officers

MATOS LUIS A

U.S. APOSTILLES INT'L CORP LUMOLET INVESTMENTS, L.L.C. LUIS ALFREDO MATOS, P.A. SINGER ISLAND BEACH RESORT LLC MAKILO LLC LUXUR GROUP INC PRESTIGE FLORIDA HOMES REALTY LLC

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated