| Entity Name: | WESTCHESTER DENTAL SERVICES GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 14 May 2012 (13 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P12000044583 |
| FEI/EIN Number | 45-5269197 |
| Address: | 29505 SW 197 Ave, Homestead, FL 33030 |
| Mail Address: | 29505 SW 197 Avenue, Homestead, FL 33030-2115 |
| ZIP code: | 33030 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730523408 | 2013-04-24 | 2013-04-24 | 7801 SW 24TH ST, SUITE 122, MIAMI, FL, 331556538, US | 7801 SW 24TH ST, SUITE 122, MIAMI, FL, 331556538, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 786-360-3694 |
| Fax | 7864311522 |
Authorized person
| Name | ANA DESIREE GONZALEZ |
| Role | PRESIDENT |
| Phone | 7863603694 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN17868 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE LICENSE |
| Number | DN17868 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Gonzalez, Ana D | Agent | 29505 SW 197 Avenue, Homestead, FL 33030-2115 |
| Name | Role | Address |
|---|---|---|
| Gonzalez, Ana D | Vice President | 29505 SW 197 Avenue, Homestead, FL 33030-2115 |
| Name | Role | Address |
|---|---|---|
| Gonzalez, Ana D | Secretary | 29505 SW 197 Avenue, Homestead, FL 33030-2115 |
| Name | Role | Address |
|---|---|---|
| Gonzalez, Ana D | President | 29505 SW 197 Avenue, Homestead, FL 33030-2115 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-16 | 29505 SW 197 Ave, Homestead, FL 33030 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-03-04 | 29505 SW 197 Avenue, Homestead, FL 33030-2115 | No data |
| CHANGE OF MAILING ADDRESS | 2014-03-04 | 29505 SW 197 Ave, Homestead, FL 33030 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-03-04 | Gonzalez, Ana D | No data |
| AMENDMENT | 2013-10-16 | No data | No data |
| AMENDMENT | 2013-04-10 | No data | No data |
| AMENDMENT | 2013-03-12 | No data | No data |
| AMENDMENT | 2012-10-17 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-02-16 |
| ANNUAL REPORT | 2018-02-15 |
| ANNUAL REPORT | 2017-02-21 |
| ANNUAL REPORT | 2016-03-22 |
| ANNUAL REPORT | 2015-02-23 |
| ANNUAL REPORT | 2014-03-04 |
| Amendment | 2013-10-16 |
| Amendment | 2013-04-10 |
| Amendment | 2013-03-12 |
| ANNUAL REPORT | 2013-02-08 |
Date of last update: 22 Feb 2025
Sources: Florida Department of State
