| Entity Name: | SOUTH DENTAL AT FOREST LAKES KENDALL SQUARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 Jan 2016 (9 years ago) |
| Document Number: | P16000005480 |
| FEI/EIN Number | 81-1192099 |
| Address: | 16705 SW 95th Street, MIAMI, FL, 33196, US |
| Mail Address: | 16705 SW 95th Street, MIAMI, FL, 33196, US |
| ZIP code: | 33196 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659896652 | 2017-08-10 | 2017-08-10 | 16705 SW 95TH ST, MIAMI, FL, 331964757, US | 16705 SW 95TH ST, MIAMI, FL, 331964757, US | |||||||||||||
|
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| Phone | +1 786-329-5909 |
Authorized person
| Name | CARLOS LACAYO |
| Role | REGIONAL MANAGER |
| Phone | 7862240848 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| SOUTH DENTAL MANAGEMENT SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| ANGEL ELIAS TDMD | Director | 401 CORAL WAY #109, MIAMI, FL, 33134 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-10 | 16705 SW 95th Street, MIAMI, FL 33196 | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-10 | 16705 SW 95th Street, MIAMI, FL 33196 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-10 | 16705 SW 95th Street, MIAMI, FL 33196 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-15 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-06-16 |
| ANNUAL REPORT | 2019-03-29 |
| ANNUAL REPORT | 2018-04-13 |
| ANNUAL REPORT | 2017-04-10 |
| Domestic Profit | 2016-01-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
