| Entity Name: | WEST SIDE PEDIATRIC DENTISTRY PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 14 Feb 2012 (13 years ago) |
| Document Number: | P12000015346 |
| FEI/EIN Number | 45-4551197 |
| Address: | 16223 MIRAMAR PKWY, MIRAMAR, FL 33027 |
| Mail Address: | 16223 Miramar Parkway, Miramar, FL 33027 |
| ZIP code: | 33027 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790050417 | 2012-03-13 | 2012-03-13 | 16223 MIRAMAR PARKWAY, MIRAMAR, FL, 33027, US | 16223 MIRAMAR PKWY, MIRAMAR, FL, 330274572, US | |||||||||||||||||||
|
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| Phone | +1 954-433-4544 |
| Fax | 9544334312 |
Authorized person
| Name | DR. DEBORAH A. FERRER |
| Role | OWNER |
| Phone | 9544334544 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| License Number | DN15146 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FERRER, DEBORAH | Agent | 18 Seneca Road, Sea Ranch Lakes, FL 33308 |
| Name | Role | Address |
|---|---|---|
| Ferrer, Deborah | President | 18 Seneca Road, Sea Ranch Lakes, FL 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-03-28 | 16223 MIRAMAR PKWY, MIRAMAR, FL 33027 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-26 | 18 Seneca Road, Sea Ranch Lakes, FL 33308 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-03-28 |
| ANNUAL REPORT | 2021-03-26 |
| ANNUAL REPORT | 2020-06-01 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-03-16 |
| ANNUAL REPORT | 2017-04-21 |
| ANNUAL REPORT | 2016-03-04 |
| ANNUAL REPORT | 2015-03-20 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
