| Entity Name: | HEALTH & COSMETIC DENTAL CARE, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 13 Aug 2012 (12 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 07 Apr 2017 (8 years ago) |
| Document Number: | P12000069468 |
| FEI/EIN Number | 46-0784165 |
| Address: | 4150 NW 7 STREET, MIAMI, FL, 33126, US |
| Mail Address: | 4150 NW 7 STREET, MIAMI, FL, 33126, US |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417348467 | 2015-02-12 | 2015-02-12 | 4150 NW 7TH ST STE 103, MIAMI, FL, 331265535, US | 4150 NW 7TH ST STE 103, MIAMI, FL, 331265535, US | |||||||||||||||||||||||||
|
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| Phone | +1 305-646-9222 |
| Fax | 3056466704 |
Authorized person
| Name | GRETELL M RODRIGUEZ |
| Role | DENTIST |
| Phone | 3056469222 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | DN19927 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008147300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ GRETELL | Agent | 4150 NW 7 STREET, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ GRETELL | President | 13690 SW 34 STREET, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| RUIZ FRANCISCO | Vice President | 13690 SW 34 STREET, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| ROSELL MARIA JULIA | Secretary | 616 NW 26 AVE, MIAMI, FL, 33125 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-27 | 4150 NW 7 STREET, MIAMI, FL 33126 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-27 | 4150 NW 7 STREET, MIAMI, FL 33126 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-27 | 4150 NW 7 STREET, MIAMI, FL 33175 | No data |
| AMENDMENT | 2017-04-07 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-01 |
| ANNUAL REPORT | 2023-04-23 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-06-30 |
| AMENDED ANNUAL REPORT | 2019-07-19 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-01-12 |
| Amendment | 2017-04-07 |
| ANNUAL REPORT | 2017-01-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
