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ORTHOSMILES, P.A.

Company Details

Entity Name: ORTHOSMILES, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 11 Oct 2012 (12 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 08 Nov 2021 (3 years ago)
Document Number: P12000086241
FEI/EIN Number 46-1167386
Address: 302 NW 179TH AVENUE, 201A, PEMBROKE PINES, FL 33029
Mail Address: 302 NW 179TH AVENUE, 201A, PEMBROKE PINES, FL 33029
ZIP code: 33029
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104278910 2016-07-05 2016-07-05 302 NW 179TH AVE, SUITE#201-A, PEMBROKE PINES, FL, 330292818, US 302 NW 179TH AVE, SUITE#201-A, PEMBROKE PINES, FL, 330292818, US

Contacts

Phone +1 954-404-6712
Fax 9544046734

Authorized person

Name DR. GINA COZZARELLI
Role ORTHODONTIST/OWNER
Phone 9544046712

Taxonomy

Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
License Number DN17976
State FL
Is Primary Yes

Agent

Name Role Address
Machado, Ruth Agent 302 NW 179 Ave, Suite#201-A, Pembroke Pines, FL 33029

President

Name Role Address
Cozzarelli, Gina, President President 302 NW 179TH AVENUE, 201A PEMBROKE PINES, FL 33029

Officer

Name Role Address
Machado, Ruth, Officer Officer 302 NW 179TH AVENUE, 201A PEMBROKE PINES, FL 33029

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-08-03 302 NW 179TH AVENUE, 201A, PEMBROKE PINES, FL 33029 No data
CHANGE OF MAILING ADDRESS 2023-08-03 302 NW 179TH AVENUE, 201A, PEMBROKE PINES, FL 33029 No data
REGISTERED AGENT NAME CHANGED 2023-08-03 Machado, Ruth No data
REGISTERED AGENT ADDRESS CHANGED 2023-08-03 302 NW 179 Ave, Suite#201-A, Pembroke Pines, FL 33029 No data
REINSTATEMENT 2021-11-08 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data

Documents

Name Date
ANNUAL REPORT 2025-02-10
ANNUAL REPORT 2024-03-06
ANNUAL REPORT 2023-08-03
ANNUAL REPORT 2022-01-24
REINSTATEMENT 2021-11-08
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-04-03
AMENDED ANNUAL REPORT 2018-04-24
ANNUAL REPORT 2018-01-17
ANNUAL REPORT 2017-03-15

Date of last update: 22 Feb 2025

Sources: Florida Department of State