| Entity Name: | BROWARD PERIODONTICS, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 23 May 2013 (12 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P13000045780 |
| FEI/EIN Number | 46-2882102 |
| Address: | 1027 SE 17TH STREET, FORT LAUDERDALE, FL, 33316, US |
| Mail Address: | 1027 SE 17TH STREET, FORT LAUDERDALE, FL, 33316, US |
| ZIP code: | 33316 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639624539 | 2016-08-20 | 2016-08-20 | 1027 SE 17TH ST, FT LAUDERDALE, FL, 333162116, US | 1027 SE 17TH ST, FT LAUDERDALE, FL, 333162116, US | |||||||||||||||||||
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| Phone | +1 954-916-7664 |
| Fax | 9549167647 |
Authorized person
| Name | DR. CHRISTOPHER DETURE |
| Role | DOCTOR/OWNER |
| Phone | 9549167664 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN14431 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GALVAN MESSICK LLP | Agent | 1900 NW CORPORATE BLVD, BOCA RATON, FL, 33431 |
| Name | Role | Address |
|---|---|---|
| DETURE C. NICHOLAS | President | 1027 SE 17TH STREET, FORT LAUDERDALE, FL, 33316 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-02-02 |
| ANNUAL REPORT | 2016-02-03 |
| ANNUAL REPORT | 2015-01-20 |
| ANNUAL REPORT | 2014-04-24 |
| Domestic Profit | 2013-05-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
