| Entity Name: | FLAVIO A KOTTAR DDS, P.A |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 Dec 2014 (10 years ago) |
| Document Number: | P14000099977 |
| FEI/EIN Number | 47-2712806 |
| Address: | 1300 Brickell Bay Drive, Miami, FL, 33131, US |
| Mail Address: | 1300 Brickell Bay Drive, Miami, FL, 33131, US |
| ZIP code: | 33131 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578172763 | 2020-07-24 | 2020-07-24 | 1300 BRICKELL BAY DR APT 3105, MIAMI, FL, 331313399, US | 3683 S MIAMI AVE STE 305, MIAMI, FL, 331334253, US | |||||||||||||
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| Phone | +1 305-331-9998 |
Authorized person
| Name | DR. FLAVIO AUGUSTO KOTTAR |
| Role | DIRECTOR |
| Phone | 3053319998 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FLAVIO A KOTTAR DDS, P.A. 401(K) PLAN | 2023 | 472712806 | 2024-05-09 | FLAVIO A KOTTAR DDS, P.A. | 3 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-09 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3055688899 |
| Plan sponsor’s address | 3683 S MIAMI AVE, SUITE 305, MIAMI, FL, 33133 |
| Name | Role | Address |
|---|---|---|
| SERBER DANIEL JESQ. | Agent | 2875 NE 191 STREET SUITE 801, AVENTURA, FL, 33180 |
| Name | Role | Address |
|---|---|---|
| KOTTAR FLAVIO A | Director | 1300 Brickell Bay Drive, Miami, FL, 33131 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000055327 | VIZCAYA DENTAL ARTS | ACTIVE | 2021-04-22 | 2026-12-31 | No data | 3683 S MIAMI AVE, SUITE 305, MIAMI, FL, 33133 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-21 | 1300 Brickell Bay Drive, Apt 3105, Miami, FL 33131 | No data |
| CHANGE OF MAILING ADDRESS | 2020-03-21 | 1300 Brickell Bay Drive, Apt 3105, Miami, FL 33131 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-02-20 |
| ANNUAL REPORT | 2022-02-28 |
| ANNUAL REPORT | 2021-02-06 |
| ANNUAL REPORT | 2020-03-21 |
| ANNUAL REPORT | 2019-03-31 |
| ANNUAL REPORT | 2018-06-26 |
| ANNUAL REPORT | 2017-03-18 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-05-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
