| Entity Name: | ST. JOHN DENTAL CENTER, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 20 Jan 2012 (13 years ago) |
| Date of dissolution: | 01 May 2013 (12 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 01 May 2013 (12 years ago) |
| Document Number: | P12000007405 |
| Address: | 161 NW 29 ST, MIAMI, FL, 33127 |
| Mail Address: | 400 W 65 ST, HIALEAH, FL, 33012 |
| ZIP code: | 33127 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497005276 | 2012-09-19 | 2012-09-19 | 161 NW 29TH ST, MIAMI, FL, 331273929, US | 161 NW 29TH ST, MIAMI, FL, 331273929, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 786-313-3330 |
Authorized person
| Name | CELIA FIGUEROA |
| Role | PRESIDENT |
| Phone | 7863133330 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 171794632 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FIGUEROA CELIA | Agent | 400 W 65 ST, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| FIGUEROA CELIA | Director | 400 W 65 ST, HIALEAH, FL, 33012 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2013-05-01 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2012-01-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
