| Entity Name: | DENTALWORKS STUDIO OF INDIANTOWN, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Apr 2015 (10 years ago) |
| Document Number: | P15000037417 |
| FEI/EIN Number | 47-3873316 |
| Mail Address: | 6336 FOREST HILL BLVD, GREENACRES, FL, 33415, US |
| Address: | 15275 E. THELMA WATERS AVE., INDIANTOWN, FL, 34956, US |
| ZIP code: | 34956 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437536703 | 2015-05-06 | 2016-05-06 | 6336 FOREST HILL BLVD, GREENACRES, FL, 334156104, US | 15275 SW ADAMS AVE, INDIANTOWN, FL, 349563433, US | |||||||||||||||||||||||
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| Phone | +1 561-642-1177 |
| Fax | 5616421143 |
| Phone | +1 772-597-4627 |
| Fax | 7725974630 |
Authorized person
| Name | CLAUDIA J ORTEGA |
| Role | PRESIDENT |
| Phone | 5616421177 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN18835 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ORTEGA CLAUDIA J | Agent | 6336 FOREST HILL BLVD, GREENACRES, FL, 33415 |
| Name | Role | Address |
|---|---|---|
| ORTEGA CLAUDIA J | President | 6336 FOREST HILL BLVD, GREENACRES, FL, 33415 |
| Name | Role | Address |
|---|---|---|
| GOMEZ JOSUE C | Vice President | 6336 FOREST HILL BLVD, GREENACRES, FL, 33415 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-10-07 | 15275 E. THELMA WATERS AVE., INDIANTOWN, FL 34956 | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-30 | 15275 E. THELMA WATERS AVE., INDIANTOWN, FL 34956 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-30 | 6336 FOREST HILL BLVD, GREENACRES, FL 33415 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-29 |
| ANNUAL REPORT | 2023-04-04 |
| ANNUAL REPORT | 2022-05-13 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-06-11 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-03-09 |
| ANNUAL REPORT | 2017-04-05 |
| ANNUAL REPORT | 2016-04-30 |
| Domestic Profit | 2015-04-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
