| Entity Name: | VERITAS DENTAL HOLLYWOOD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 10 Jul 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: | P12000060712 |
| FEI/EIN Number | 460633262 |
| Address: | 12715 AVIANO DR, NAPLES, FL, 34105 |
| Mail Address: | 12715 AVIANO DR, NAPLES, FL, 34105 |
| ZIP code: | 34105 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477804888 | 2012-09-25 | 2012-09-25 | 6517 TAFT ST, HOLLYWOOD, FL, 330244008, US | 6517 TAFT ST, HOLLYWOOD, FL, 330244008, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 954-399-7839 |
Authorized person
| Name | IVAN E TERRERO |
| Role | PRESIDENT |
| Phone | 9453997839 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN 17477 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TERRERO IVAN | Agent | 12715 AVIANO DR, NAPLES, FL, 34105 |
| Name | Role | Address |
|---|---|---|
| TERRERO IVAN | Director | 12715 AVIANO DR, NAPLES, FL, 34105 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000083460 | PRIMARY CARE DENTAL | EXPIRED | 2012-08-23 | 2017-12-31 | No data | VERITAS DENTAL, 522 EAST 25TH STREET, HIALEAH, FL, 33013 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REINSTATEMENT | 2013-12-23 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-29 |
| REINSTATEMENT | 2013-12-23 |
| Domestic Profit | 2012-07-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
