| Entity Name: | CHILDREN'S DENTAL PLACE OF EAST BOCA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 26 Apr 2012 (13 years ago) |
| Date of dissolution: | 14 Jan 2025 (10 days ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 14 Jan 2025 (10 days ago) |
| Document Number: | P12000039419 |
| FEI/EIN Number | 45-5161313 |
| Address: | 509 NORTHEAST 20TH STREET, BOCA RATON, FL 33431 |
| Mail Address: | 509 NORTHEAST 20TH STREET, BOCA RATON, FL 33431 |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538427158 | 2012-05-02 | 2012-05-02 | 509 NE 20TH ST, BOCA RATON, FL, 334318141, US | 509 NE 20TH ST, BOCA RATON, FL, 334318141, US | |||||||||||||||||||||||
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| Phone | +1 954-849-4143 |
Authorized person
| Name | DR. JOSEPH HERMAN |
| Role | DENTIST |
| Phone | 9548494143 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN13586 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 075515000 |
| State | FL |
| Name | Role |
|---|---|
| SPIEGEL & UTRERA, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| HERMAN, JOSEPH | Director | 509 NORTHEAST 20TH STREET, BOCA RATON, FL 33431 |
| HERMAN, MICHELLE | Director | 509 NORTHEAST 20TH STREET, BOCA RATON, FL 33431 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2025-01-14 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2025-01-14 |
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-03-02 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
