| Entity Name: | KA DENTAL GROUP RPB, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 06 Jan 2014 (11 years ago) |
| Document Number: | P14000001100 |
| FEI/EIN Number | 46-4468129 |
| Mail Address: | 1962 S. MILITARY TRAIL, WEST PALM BEACH, FL 33415 |
| Address: | 1112 Royal Palm Beach Blvd, ROYAL PALM BEACH, FL 33411 |
| ZIP code: | 33411 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356767180 | 2014-03-18 | 2014-03-18 | 1236 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL, 334111602, US | 1236 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL, 334111602, US | |||||||||||||||||
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| Phone | +1 561-795-1404 |
Authorized person
| Name | ADITI PATEL |
| Role | VICE PRESEDENT |
| Phone | 5617951404 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN19875 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KA DENTAL GROUP 401(K) PLAN | 2023 | 464468129 | 2024-10-03 | KA DENTAL GROUP RPB, PA | 28 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-10-03 |
| Name of individual signing | DR. KRUNAL PATEL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 9737673283 |
| Plan sponsor’s address | 9810 ALTERNATE A1A, SUITE 106, PAMI BEACH GARDENS, FL, 33410 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-11 |
| Name of individual signing | DR. KRUNAL PATEL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 9737673283 |
| Plan sponsor’s address | 9810 ALTERNATE A1A, SUITE 106, PAMI BEACH GARDENS, FL, 33410 |
Signature of
| Role | Plan administrator |
| Date | 2023-02-07 |
| Name of individual signing | DR. KRUNAL PATEL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Patel, Krunal | Agent | 1112 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL 33411 |
| Name | Role | Address |
|---|---|---|
| PATEL, KRUNAL C | President | 1112 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL 33411 |
| Name | Role | Address |
|---|---|---|
| PATEL, ADITI | Vice President | 1112 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL 33411 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000063174 | FLAWLESS FACIAL ESTHETIC SPA | ACTIVE | 2024-05-15 | 2029-12-31 | No data | 1962 S. MILITARY TRAIL, WEST PALM BEACH, FL, 33415 |
| G24000023495 | PALM BEACH BRACES AND PEDIATRICS | ACTIVE | 2024-02-12 | 2029-12-31 | No data | 1112 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL, 33411 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-10-21 | 1112 Royal Palm Beach Blvd, ROYAL PALM BEACH, FL 33411 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-01-27 | 1112 Royal Palm Beach Blvd, ROYAL PALM BEACH, FL 33411 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-01-27 | Patel, Krunal | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-01-27 | 1112 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL 33411 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-07-12 |
| ANNUAL REPORT | 2022-03-28 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-02-22 |
| ANNUAL REPORT | 2018-01-03 |
| ANNUAL REPORT | 2017-02-27 |
| ANNUAL REPORT | 2016-01-27 |
| ANNUAL REPORT | 2015-01-05 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
