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PEDIATRIC DENTAL CENTER OF HOMESTEAD, INC.

Company Details

Entity Name: PEDIATRIC DENTAL CENTER OF HOMESTEAD, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 07 Dec 2012 (12 years ago)
Document Number: P12000100444
FEI/EIN Number 38-3893523
Address: 925 NE 30TH TERRACE, SUITE 302, HOMESTEAD, FL 33033
Mail Address: 925 NE 30TH TERRACE, SUITE 302, HOMESTEAD, FL 33033
ZIP code: 33033
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932449899 2013-02-28 2013-02-28 925 NE 30TH TER, SUITE 302, HOMESTEAD, FL, 330337613, US 925 NE 30TH TER, SUITE 302, HOMESTEAD, FL, 330337613, US

Contacts

Phone +1 305-246-3800
Fax 3052469800

Authorized person

Name ENRIQUE ACOSTA
Role PEDIATRIC DENTIST/OWNER
Phone 7863686212

Taxonomy

Taxonomy Code 1223P0221X - Pediatric Dentist
License Number DN17284
State FL
Is Primary Yes

Agent

Name Role Address
ACOSTA, ENRIQUE Agent 2645 douglas Rd., Ste 703, MIAMI, FL 33133

President

Name Role Address
ACOSTA, ENRIQUE President 2645 douglas Rd., Ste 703 MIAMI, FL 33133

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-08 925 NE 30TH TERRACE, SUITE 302, HOMESTEAD, FL 33033 No data
CHANGE OF MAILING ADDRESS 2024-02-08 925 NE 30TH TERRACE, SUITE 302, HOMESTEAD, FL 33033 No data
REGISTERED AGENT ADDRESS CHANGED 2014-04-08 2645 douglas Rd., Ste 703, MIAMI, FL 33133 No data

Documents

Name Date
ANNUAL REPORT 2025-01-15
ANNUAL REPORT 2024-02-16
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-01-18
ANNUAL REPORT 2021-02-21
ANNUAL REPORT 2020-01-14
ANNUAL REPORT 2019-02-14
ANNUAL REPORT 2018-01-12
ANNUAL REPORT 2017-01-06
ANNUAL REPORT 2016-02-17

Date of last update: 23 Jan 2025

Sources: Florida Department of State