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