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  5. CORAL DENTAL AND DENTURE, PA

CORAL DENTAL AND DENTURE, PA

Company Details

Entity Name: CORAL DENTAL AND DENTURE, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 19 Oct 2012 (12 years ago)
Document Number: P12000088282
FEI/EIN Number 46-1280419
Address: 47 Barkley Circle, Unit A, Fort Myers, FL, 33907, US
Mail Address: 47 Barkley Circle, Unit A, Fort Myers, FL, 33907, US
ZIP code: 33907
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366796450 2012-10-29 2016-04-28 12711 MCGREGOR BLVD, FORT MYERS, FL, 339194412, US 12711 MCGREGOR BLVD, FORT MYERS, FL, 339194412, US

Contacts
Phone +1 239-542-3925
Fax 2392105903

Authorized person
Name DR. JUAN CARLOS CASTELLANOS
Role PRESIDENT
Phone 2396035210

Taxonomy
Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number DN 19837
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CORAL DENTAL AND DENTURE PA PROFIT SHARING PLAN 2023 461280419 2024-06-28 CORAL DENTAL AND DENTURE PA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 2395423925
Plan sponsor’s address 47 BARKLEY CIR STE A, FORT MYERS, FL, 339077734

Signature of
Role Plan administrator
Date 2024-06-28
Name of individual signing JUAN CASTELLANOS
Valid signature Filed with authorized/valid electronic signature
CORAL DENTAL AND DENTURE PA PROFIT SHARING PLAN 2022 461280419 2023-06-14 CORAL DENTAL AND DENTURE PA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 2395423925
Plan sponsor’s address 47 BARKLEY CIR STE A, FORT MYERS, FL, 339077734

Signature of
Role Plan administrator
Date 2023-06-14
Name of individual signing JUAN CASTELLANOS
Valid signature Filed with authorized/valid electronic signature
CORAL DENTAL AND DENTURE PA PROFIT SHARING PLAN 2021 461280419 2022-06-03 CORAL DENTAL AND DENTURE PA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 2395423925
Plan sponsor’s address 47 BARKLEY CIR STE A, FORT MYERS, FL, 339077734

Signature of
Role Plan administrator
Date 2022-06-03
Name of individual signing JUAN CASTELLANOS
Valid signature Filed with authorized/valid electronic signature
CORAL DENTAL AND DENTURE PA PROFIT SHARING PLAN 2020 461280419 2021-10-26 CORAL DENTAL AND DENTURE PA 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 2395423925
Plan sponsor’s address 47 BARKLEY CIR STE A, FORT MYERS, FL, 33907

Signature of
Role Plan administrator
Date 2021-10-26
Name of individual signing JUAN CASTELLANOS
Valid signature Filed with authorized/valid electronic signature
CORAL DENTAL AND DENTURE PA PROFIT SHARING PLAN 2020 461280419 2021-10-26 CORAL DENTAL AND DENTURE PA 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 2395423925
Plan sponsor’s address 47 BARKLEY CIR STE A, FORT MYERS, FL, 33907

Signature of
Role Plan administrator
Date 2021-10-26
Name of individual signing JUAN CASTELLANOS
Valid signature Filed with authorized/valid electronic signature
CORAL DENTAL AND DENTURE PA PROFIT SHARING PLAN 2020 461280419 2021-10-26 CORAL DENTAL AND DENTURE PA 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 2395423925
Plan sponsor’s address 47 BARKLEY CIR STE A, FORT MYERS, FL, 33907

Signature of
Role Plan administrator
Date 2021-10-26
Name of individual signing JUAN CASTELLANOS
Valid signature Filed with authorized/valid electronic signature
CORAL DENTAL AND DENTURE PA PROFIT SHARING PLAN 2020 461280419 2021-10-26 CORAL DENTAL AND DENTURE PA 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 2395423925
Plan sponsor’s address 47 BARKLEY CIR STE A, FORT MYERS, FL, 33907

Signature of
Role Plan administrator
Date 2021-10-26
Name of individual signing JUAN CASTELLANOS
Valid signature Filed with authorized/valid electronic signature
CORAL DENTAL AND DENTURE PA PROFIT SHARING PLAN 2019 461280419 2021-10-26 CORAL DENTAL AND DENTURE PA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 2395423925
Plan sponsor’s address 47 BARKLEY CIR STE A, FORT MYERS, FL, 33907

Signature of
Role Plan administrator
Date 2021-10-26
Name of individual signing JUAN CASTELLANOS
Valid signature Filed with authorized/valid electronic signature
CORAL DENTAL AND DENTURE PA PROFIT SHARING PLAN 2015 461280419 2016-07-18 CORAL DENTAL AND DENTURE PA 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 2395423925
Plan sponsor’s address 1338 LAFAYETTE ST, CAPE CORAL, FL, 33904

Signature of
Role Plan administrator
Date 2016-07-18
Name of individual signing JUAN CASTELLANOS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Castellanos Juan C Agent 5123 sw 18 av, CAPE CORAL, FL, 33914

Director

Name Role Address
CASTELLANOS JUAN Director 5123 sw 18 av, CAPE CORAL, FL, 33914

President

Name Role Address
CASTELLANOS JUAN President 5123 sw 18 av, CAPE CORAL, FL, 33914

Auth

Name Role Address
GONZALEZ MARLY Auth 5123 sw 18 av, CAPE CORAL, FL, 33914

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000122260 CORAL DENTAL LAB EXPIRED 2018-11-14 2023-12-31 No data 12711 MCGREGOR BLVD., FORT MYERS, FL, 33919

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-04-17 47 Barkley Circle, Unit A, Fort Myers, FL 33907 No data
CHANGE OF MAILING ADDRESS 2020-04-17 47 Barkley Circle, Unit A, Fort Myers, FL 33907 No data
REGISTERED AGENT ADDRESS CHANGED 2016-04-15 5123 sw 18 av, CAPE CORAL, FL 33914 No data
REGISTERED AGENT NAME CHANGED 2013-05-01 Castellanos, Juan C No data

Documents

Name Date
ANNUAL REPORT 2025-01-18
ANNUAL REPORT 2024-04-02
ANNUAL REPORT 2023-02-25
ANNUAL REPORT 2022-03-30
ANNUAL REPORT 2021-03-15
ANNUAL REPORT 2020-04-17
ANNUAL REPORT 2019-04-12
ANNUAL REPORT 2018-02-07
ANNUAL REPORT 2017-03-11
ANNUAL REPORT 2016-04-15

Related by officers

CASTELLANOS JUAN

MEMORIAM FOUNDATION, INC. EE MARKETING CORP CHRISCOLECAR SERVICES, INC. A1CM SHADES & BLINDS FACTORY CORP DENTAL PROS CORP CORAL DENTAL P.A. JCFD LLC IDEAS PLUS, INC. TURISMO.COM, INC. JUAN CASTELLANOS RENOVATIONS, INC.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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