| Entity Name: | PREMIER DENTISTRY OF BOYNTON BEACH INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 May 2016 (9 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P16000039658 |
| FEI/EIN Number | 81-2483593 |
| Address: | 10075 JOG ROAD SUITE NO. 102, BOYNTON BEACH, FL, 33437, US |
| Mail Address: | 10075 JOG ROAD SUITE NO. 102, BOYNTON BEACH, FL, 33437, US |
| ZIP code: | 33437 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447781489 | 2017-03-22 | 2017-03-23 | 1001 W INDIANTOWN RD, SUITE 106, JUPITER, FL, 334586830, US | 10075 S JOG RD, SUITE #102, BOYNTON BEACH, FL, 334373535, US | |||||||||||||||||
|
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| Phone | +1 561-244-7022 |
| Fax | 5612447027 |
| Fax | 5617478826 |
Authorized person
| Name | DR. DANIEL CASEL |
| Role | DOCTOR/PROVIDER |
| Phone | 5612447022 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CASEL DANIEL M | Agent | 10075 JOG ROAD SUITE NO. 102, BOYNTON BEACH, FL, 33437 |
| Name | Role |
|---|---|
| PREMIER DENTISTRY OF FLORIDA, INC | President |
| Name | Role | Address |
|---|---|---|
| CASEL DANIEL M | Vice President | 1001 W INDIANTOWN ROAD, JUPITER, FL, 33458 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| AMENDMENT | 2018-06-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-06-26 | 10075 JOG ROAD SUITE NO. 102, BOYNTON BEACH, FL 33437 | No data |
| CHANGE OF MAILING ADDRESS | 2018-06-26 | 10075 JOG ROAD SUITE NO. 102, BOYNTON BEACH, FL 33437 | No data |
| AMENDMENT | 2016-07-11 | No data | No data |
| AMENDMENT | 2016-06-24 | No data | No data |
| Name | Date |
|---|---|
| Amendment | 2018-06-26 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-01-10 |
| Amendment | 2016-07-11 |
| Amendment | 2016-06-24 |
| Domestic Profit | 2016-05-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
