| Entity Name: | RGD DENTAL, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 11 Jul 2012 (13 years ago) |
| Document Number: | P12000060909 |
| FEI/EIN Number | 46-0567843 |
| Address: | 11870 HIALEAH GARDENS BLVD, SUITE 129 A, HIALEAH GARDENS, FL 33018 |
| Mail Address: | 11870 HIALEAH GARDENS BLVD, SUITE 129 A, HIALEAH GARDENS, FL 33018 |
| ZIP code: | 33018 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972951952 | 2016-05-31 | 2016-05-31 | 11870 HIALEAH GARDENS BLVD, SUITE 129 A, HIALEAH GARDENS, FL, 330184235, US | 11870 HIALEAH GARDENS BLVD, SUITE 129 A, HIALEAH GARDENS, FL, 330184235, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 786-536-7537 |
| Fax | 7865345934 |
Authorized person
| Name | DR. REYDEL GONZALEZ |
| Role | PRESIDENT |
| Phone | 7865367537 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN19923 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 016573500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, REYDEL | Agent | 16936 NW 83RD CT, MIAMI LAKES, FL 33016 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, REYDEL | President | 16936 NW 83RD CT, MIAMI LAKES, FL 33016 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, REYDEL | Secretary | 16936 NW 83RD CT, MIAMI LAKES, FL 33016 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, REYDEL | Treasurer | 16936 NW 83RD CT, MIAMI LAKES, FL 33016 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, REYDEL | Director | 16936 NW 83RD CT, MIAMI LAKES, FL 33016 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000113506 | RGD DENTAL CARE | EXPIRED | 2013-11-19 | 2018-12-31 | No data | 333 NE 24 ST #12-10, MIAMI, FL, 33137 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-06 | 16936 NW 83RD CT, MIAMI LAKES, FL 33016 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-03 | 11870 HIALEAH GARDENS BLVD, SUITE 129 A, HIALEAH GARDENS, FL 33018 | No data |
| CHANGE OF MAILING ADDRESS | 2016-03-03 | 11870 HIALEAH GARDENS BLVD, SUITE 129 A, HIALEAH GARDENS, FL 33018 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-01-27 |
| ANNUAL REPORT | 2019-02-09 |
| ANNUAL REPORT | 2018-01-21 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-03-03 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
