| Entity Name: | FEDERICO GRANDE DDS, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 May 2013 (12 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 25 Aug 2023 (a year ago) |
| Document Number: | P13000042872 |
| FEI/EIN Number | 46-2838212 |
| Address: | 8193 SE Country Estates Way, Jupiter, FL, 33458, US |
| Mail Address: | 8193 SE Country Estates Way, Jupiter, FL, 33458, US |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366166076 | 2022-09-27 | 2023-01-10 | 650 SE INDIAN ST STE 2, STUART, FL, 349975565, US | 650 SE INDIAN ST STE 2, STUART, FL, 349975565, US | |||||||||||||
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| Phone | +1 772-510-5900 |
Authorized person
| Name | DR. FEDERICO GRANDE |
| Role | OWNER |
| Phone | 7725105900 |
Taxonomy
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FEDERICO GRANDE DDS,MD,PA 401(K) PLAN | 2023 | 462838212 | 2024-07-22 | FEDERICO GRANDE DDS,MD,PA | 3 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-22 |
| Name of individual signing | CHRIS HORNE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| GRANDE FEDERICO JR | Agent | 8193 SE Country Estates Way, Jupiter, FL, 33458 |
| Name | Role | Address |
|---|---|---|
| GRANDE FEDERICO JR. | President | 8193 SE Country Estates Way, Jupiter, FL, 33458 |
| Name | Role | Address |
|---|---|---|
| GRANDE NICOLE | VFCO | 8193 SE COUNTY ESTATES WAY, JUPITER, FL, 33458 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000059545 | GRANDE ORAL SPECIALTIES | ACTIVE | 2022-05-11 | 2027-12-31 | No data | 650 SE INDIAN STREET, SUITES 2-3, STUART, FL, 34997 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2023-08-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-27 | 8193 SE Country Estates Way, Jupiter, FL 33458 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-27 | 8193 SE Country Estates Way, Jupiter, FL 33458 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-27 | 8193 SE Country Estates Way, Jupiter, FL 33458 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-08 |
| ANNUAL REPORT | 2024-02-16 |
| Amendment | 2023-08-25 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-02-09 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-02-25 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-03-27 |
| ANNUAL REPORT | 2017-04-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
