| Entity Name: | SWEET HART DENTAL, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 03 Apr 2013 (12 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 14 Oct 2021 (3 years ago) |
| Document Number: | P13000030808 |
| FEI/EIN Number | 45-2119371 |
| Address: | 650 NW 180th Terrace, Suite 103, Pembroke Pines, FL 33029 |
| Mail Address: | 650 NW 180th Terrace, Suite 103, Pembroke Pines, FL 33029 |
| ZIP code: | 33029 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578910709 | 2016-05-17 | 2016-05-17 | 650 NW 180TH TER, PEMBROKE PINES, FL, 330292825, US | 650 NW 180TH TER, PEMBROKE PINES, FL, 330292825, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 954-437-9288 |
Authorized person
| Name | DR. DARLENE HART |
| Role | OWNER |
| Phone | 9544379288 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN19566 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 007987200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Hart, Darlene N | Agent | 650 NW 180th Terrace, Suite 103, Pembroke Pines, FL 33029 |
| Name | Role | Address |
|---|---|---|
| HART, DARLENE | President | 650 NW 180th Terrace, Suite 103 Pembroke Pines, FL 33029 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2021-10-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-10-05 | 650 NW 180th Terrace, Suite 103, Pembroke Pines, FL 33029 | No data |
| CHANGE OF MAILING ADDRESS | 2016-10-05 | 650 NW 180th Terrace, Suite 103, Pembroke Pines, FL 33029 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-10-05 | Hart, Darlene N | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-10-05 | 650 NW 180th Terrace, Suite 103, Pembroke Pines, FL 33029 | No data |
| REINSTATEMENT | 2016-10-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-03-05 |
| ANNUAL REPORT | 2022-04-05 |
| REINSTATEMENT | 2021-10-14 |
| ANNUAL REPORT | 2020-05-20 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-05-01 |
| REINSTATEMENT | 2016-10-05 |
| ANNUAL REPORT | 2015-04-29 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
