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CDPG, P.A.

Company Details

Entity Name: CDPG, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 23 Dec 2015 (9 years ago)
Last Event: CONVERSION
Event Date Filed: 23 Dec 2015 (9 years ago)
Document Number: P15000101039
FEI/EIN Number 20-1272092
Address: 6300 N. Wickham Road, Ste. 121, Suntree, FL, 32940, US
Mail Address: 1200 Network Centre Dr, Ste 2, Effingham, IL, 62401, US
ZIP code: 32940
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174284806 2022-01-05 2022-10-26 5201 BABCOCK ST NE STE 4, PALM BAY, FL, 329054637, US 5201 BABCOCK ST NE STE 4, PALM BAY, FL, 329054637, US

Contacts

Phone +1 321-722-4400

Authorized person

Name CELIA HAYES
Role CREDENTIALING COORDINATOR
Phone 2175402100

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

President

Name Role Address
Badger L. M President 7551 Osceola Polk Line Road, Davenport, FL, 33896

Secretary

Name Role Address
Dorsey Tommy Secretary 10169 West Colonial Drive, Ocoee, FL, 34761

Treasurer

Name Role Address
Dorsey Tommy Treasurer 10169 West Colonial Drive, Ocoee, FL, 34761

Vice President

Name Role Address
Berger Jacob Vice President 14606 E. State Road 70, Lakewood Ranch, FL, 34202

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000138820 RIVER BREEZE DENTAL CARE ACTIVE 2022-11-08 2027-12-31 No data 1200 NETWORK CENTRE DRIVE, EFFINGHAM, IL, 62401
G21000171338 CHRISTIE DENTAL OF WILLISTON ACTIVE 2021-12-27 2026-12-31 No data 1200 NETWORK CENTRE DRIVE, EFFINGHAM, IL, 62401
G21000171339 CHRISTIE DENTAL SEBASTIAN HWY 1 ACTIVE 2021-12-27 2026-12-31 No data 1200 NETWORK CENTRE DRIVE, EFFINGHAM, IL, 62401
G21000171340 CHRISTIE DENTAL OF VIERA ACTIVE 2021-12-27 2026-12-31 No data 1200 NETWORK CENTRE DRIVE, EFFINGHAM, IL, 62401
G21000171341 CHRISTIE DENTAL OF SUNTREE ACTIVE 2021-12-27 2026-12-31 No data 1200 NETWORK CENTRE DRIVE, EFFINGHAM, IL, 62401
G21000171342 CHRISTIE DENTAL OF MERRITT ISLAND ACTIVE 2021-12-27 2026-12-31 No data 1200 NETWORK CENTRE DRIVE, EFFINGHAM, IL, 62401
G21000171343 CHRISTIE DENTAL OF INDIAN HARBOUR BEACH ACTIVE 2021-12-27 2026-12-31 No data 1200 NETWORK CENTRE DRIVE, EFFINGHAM, IL, 62401
G21000171344 CHRISTIE DENTAL OCALA SOUTHWEST ACTIVE 2021-12-27 2026-12-31 No data 1200 NETWORK CENTRE DRIVE, EFFINGHAM, IL, 62401
G21000171337 CHRISTIE DENTAL OF TITUSVILLE ACTIVE 2021-12-27 2026-12-31 No data 1200 NETWORK CENTRE DRIVE, EFFINGHAM, IL, 62401
G21000171346 CHRISTIE DENTAL OF PALM BAY ACTIVE 2021-12-27 2026-12-31 No data 1200 NETWORK CENTRE DRIVE, EFFINGHAM, IL, 62401

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2022-07-26 6300 N. Wickham Road, Ste. 121, Suntree, FL 32940 No data
REGISTERED AGENT NAME CHANGED 2022-03-02 CORPORATION SERVICE COMPANY No data
REGISTERED AGENT ADDRESS CHANGED 2022-03-02 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 No data
CHANGE OF PRINCIPAL ADDRESS 2020-05-05 6300 N. Wickham Road, Ste. 121, Suntree, FL 32940 No data
CONVERSION 2015-12-23 No data CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS L04000046557. CONVERSION NUMBER 900000156869

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-04-05
ANNUAL REPORT 2022-07-26
Reg. Agent Change 2022-03-02
AMENDED ANNUAL REPORT 2021-12-21
ANNUAL REPORT 2021-03-30
ANNUAL REPORT 2020-05-05
ANNUAL REPORT 2019-04-02
ANNUAL REPORT 2018-03-27
ANNUAL REPORT 2017-02-17

Date of last update: 03 Feb 2025

Sources: Florida Department of State