| Entity Name: | GOLDENBERG ORTHODONTICS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 05 Aug 2016 (9 years ago) |
| Document Number: | P16000065205 |
| FEI/EIN Number | 81-3552163 |
| Address: | 11405 w palmetto park rd, BOCA RATON, FL 33428 |
| Mail Address: | 11405 w palmetto park rd, BOCA RATON, FL 33428 |
| ZIP code: | 33428 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104374644 | 2016-09-13 | 2022-07-21 | 9250 GLADES RD, SUITE 208, BOCA RATON, FL, 334343958, US | 9250 GLADES RD, SUITE 208, BOCA RATON, FL, 334343958, US | |||||||||||||||||||
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| Phone | +1 561-756-9227 |
| Fax | 5617569215 |
Authorized person
| Name | DR. MARC GOLDENBERG |
| Role | OWNER |
| Phone | 5617569227 |
Taxonomy
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| License Number | DN21140 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GOLDENBERG ORTHODONTICS 401(K) PLAN | 2023 | 813552163 | 2024-03-26 | GOLDENBERG ORTHODONTICS, P.A. | 7 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-03-26 |
| Name of individual signing | MARC GOLDENBERG |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 5617569227 |
| Plan sponsor’s address | 11405 W PALMETTO PARK RD, BOCA RATON, FL, 33428 |
Signature of
| Role | Plan administrator |
| Date | 2023-03-30 |
| Name of individual signing | MARC GOLDENBERG |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 5617569227 |
| Plan sponsor’s address | 9250 GLADES ROAD, SUITE 208, BOCA RATON, FL, 33434 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-22 |
| Name of individual signing | MARC GOLDENBERG |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 5617569227 |
| Plan sponsor’s address | 9250 GLADES ROAD, SUITE 208, BOCA RATON, FL, 33434 |
| Name | Role | Address |
|---|---|---|
| KANNER, MICHAEL | Agent | 720 NE 175TH STREET, NORTH MIAMI BEACH, FL 33162 |
| Name | Role | Address |
|---|---|---|
| GOLDENBERG, MARC | President | 11405 W Palmetto Park Rd, BOCA RATON, FL 33428 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000092841 | GOLDENBERG ORTHODONTICS | ACTIVE | 2016-08-26 | 2026-12-31 | No data | 9250 GLADES RD SUITE 208, WWW.GOLDENBERGORTHODONTICS.COM, BOCA RATON, FL, 33434 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-12-06 | 11405 w palmetto park rd, BOCA RATON, FL 33428 | No data |
| CHANGE OF MAILING ADDRESS | 2022-12-06 | 11405 w palmetto park rd, BOCA RATON, FL 33428 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-03 |
| ANNUAL REPORT | 2024-01-03 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-03-19 |
| ANNUAL REPORT | 2018-01-14 |
| ANNUAL REPORT | 2017-01-10 |
| Domestic Profit | 2016-08-05 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State
