| Entity Name: | YARELIS CARTAGENA DMD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Jan 2013 (12 years ago) |
| Document Number: | P13000006354 |
| FEI/EIN Number | 461798644 |
| Address: | 8270 Cherry Lake Road, Groveland, FL, 34736, US |
| Mail Address: | 8270 Cherry Lake Road, Groveland, FL, 34736, US |
| ZIP code: | 34736 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245572239 | 2013-03-18 | 2013-03-18 | PO BOX 3189, SYRACUSE, NY, 132203189, US | 3436 S FLORIDA AVE, LAKELAND, FL, 338034765, US | |||||||||||||||||||||||
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| Phone | +1 866-273-8204 |
| Fax | 8668034943 |
| Phone | +1 863-607-4700 |
| Fax | 8636074434 |
Authorized person
| Name | AMY MARKO |
| Role | VP INSURANCE OPPS |
| Phone | 8662738204 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 18885 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BELTRAN CONSULTING LAW GROUP LLC | Agent |
| Name | Role | Address |
|---|---|---|
| CARTAGENA YARELIS DMD | President | 8270 Cherry Lake Road, Groveland, FL, 34736 |
| Name | Role | Address |
|---|---|---|
| CARTAGENA YARELIS DMD | Secretary | 8270 Cherry Lake Road, Groveland, FL, 34736 |
| Name | Role | Address |
|---|---|---|
| CARTAGENA YARELIS DMD | Treasurer | 8270 Cherry Lake Road, Groveland, FL, 34736 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000050191 | ASPEN DENTAL | EXPIRED | 2014-05-22 | 2019-12-31 | No data | 3436 S. FLORIDA AVE., LAKELAND, FL, 33803 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-18 | 8270 Cherry Lake Road, Groveland, FL 34736 | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-18 | 8270 Cherry Lake Road, Groveland, FL 34736 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-18 | 8270 Cherry Lake Road, Groveland, FL 34736 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-02-24 | Beltran Consulting Law Group, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-04-18 |
| ANNUAL REPORT | 2022-03-16 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-04-11 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2016-02-24 |
| ANNUAL REPORT | 2015-03-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
