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MANUEL CRUCES DDS PA

Company Details

Entity Name: MANUEL CRUCES DDS PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 20 Apr 2012 (13 years ago)
Date of dissolution: 25 Sep 2015 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (9 years ago)
Document Number: P12000037630
FEI/EIN Number 45-5152085
Address: 8961 LITTLE FALLS WAY, DELRAY BEACH, FL, 33446, US
Mail Address: 8961 LITTLE FALLS WAY, DELRAY BEACH, FL, 33446, US
ZIP code: 33446
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811371073 2015-07-16 2015-07-16 5350 W HILLSBORO BLVD, SUITE 201, COCONUT CREEK, FL, 330734396, US 5350 W HILLSBORO BLVD, SUITE 201, COCONUT CREEK, FL, 330734396, US

Contacts

Phone +1 954-708-2157
Fax 9547082159

Authorized person

Name DR. MANUEL IGNACIO CRUCES
Role GENERAL DENTIST
Phone 9547082157

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number DN18716
State FL
Is Primary Yes

Agent

Name Role Address
CRUCES MANUEL I Agent 8961 LITTLE FALLS WAY, DELRAY BEACH, FL, 33446

President

Name Role Address
CRUCES MANUEL President 8961 LITTLE FALLS WAY, DELRAY BEACH, FL, 33446

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2014-03-18 8961 LITTLE FALLS WAY, DELRAY BEACH, FL 33446 No data
CHANGE OF MAILING ADDRESS 2014-03-18 8961 LITTLE FALLS WAY, DELRAY BEACH, FL 33446 No data
REGISTERED AGENT NAME CHANGED 2014-03-18 CRUCES , MANUEL I No data
REGISTERED AGENT ADDRESS CHANGED 2014-03-18 8961 LITTLE FALLS WAY, DELRAY BEACH, FL 33446 No data

Documents

Name Date
ANNUAL REPORT 2014-03-18
ANNUAL REPORT 2013-04-25
Domestic Profit 2012-04-20

Date of last update: 01 Feb 2025

Sources: Florida Department of State