| Entity Name: | CORDICA DENTAL DESIGNS INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 26 Aug 2014 (10 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P14000071270 |
| FEI/EIN Number | 47-1692913 |
| Address: | 104 E. FLETCHER AVENUE, SUITE D, TAMPA, FL, 33612 |
| Mail Address: | 104 E. FLETCHER AVENUE, SUITE D, TAMPA, FL, 33612 |
| ZIP code: | 33612 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477944742 | 2015-02-09 | 2015-09-28 | 220 W BRANDON BLVD, STE 106, BRANDON, FL, 335115104, US | 220 W BRANDON BLVD, STE 106, BRANDON, FL, 335115104, US | |||||||||||||||||||||||||
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| Phone | +1 813-661-1800 |
| Fax | 8136611300 |
Authorized person
| Name | DR. ELIZABETH PEREZ |
| Role | DOCTOR, DMD/PRESIDENT |
| Phone | 8134222599 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN15530 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 014265500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PERKS ELIZABETH | Agent | 104 E. FLETCHER AVENUE, TAMPA, FL, 33612 |
| Name | Role | Address |
|---|---|---|
| PERKS ELIZABETH | President | 104 E. FLETCHER AVENUE, TAMPA, FL, 33612 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000106504 | TAMPA DENTAL SOLUTIONS | ACTIVE | 2021-08-17 | 2026-12-31 | No data | 104 E FLETCHER AVE, TAMPA, FL, 33612 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-29 | 104 E. FLETCHER AVENUE, SUITE D, TAMPA, FL 33612 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-13 | 104 E. FLETCHER AVENUE, SUITE D, TAMPA, FL 33612 | No data |
| AMENDMENT | 2020-04-13 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2020-04-13 | 104 E. FLETCHER AVENUE, SUITE D, TAMPA, FL 33612 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-04-13 | PERKS, ELIZABETH | No data |
| AMENDMENT | 2019-01-07 | No data | No data |
| AMENDMENT | 2015-03-10 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-29 |
| Amendment | 2020-04-13 |
| AMENDED ANNUAL REPORT | 2019-12-14 |
| ANNUAL REPORT | 2019-04-23 |
| Amendment | 2019-01-07 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-09-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
