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MICHAEL RODRIGUEZ, D.M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: MICHAEL RODRIGUEZ, D.M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 21 Sep 2016 (9 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 12 Nov 2024 (10 months ago)
Document Number: P16000078020
FEI/EIN Number 81-3796046
Address: 2860 SOUTH SEACREST BLVD, BOYTON BEACH, FL, 33435, US
Mail Address: 2403 Lacy Ln, Carrollton, TX, 75006, US
ZIP code: 33435
City: Boynton Beach
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
RODRIGUEZ MICHAEL DMD President 2860 SOUTH SEACREST BLVD, DELRAY BEACH, FL, 33483
MARTIN MIRTHA VCPA Agent 420 SOUTH COUNTRY CLUB ROAD, LAKE MARY, FL, 32746
Puckett Justin Officer 2403 Lacy Ln, Carrollton, TX, 75006

National Provider Identifier

NPI Number:
1174233563
Certification Date:
2022-11-28

Authorized Person:

Name:
JENNY GARCIA-ROCHA
Role:
LEAD OF CREDENTIALING
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000075800 AN OCEAN DENTAL STUDIO EXPIRED 2017-07-14 2022-12-31 - 318 FRANKLIN CLUB DRIVE, UNIT NO. 1305, DELRAY BEACH, FL, 33483
G17000075803 OCEAN DENTAL STUDIO ACTIVE 2017-07-14 2027-12-31 - 2860 S SEACREST BLVD, BOYTON BEACH, FL, 33435

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-11-12 2860 SOUTH SEACREST BLVD, BOYTON BEACH, FL 33435 -
REINSTATEMENT 2024-11-12 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 - -
CHANGE OF PRINCIPAL ADDRESS 2020-03-02 2860 SOUTH SEACREST BLVD, BOYTON BEACH, FL 33435 -
REINSTATEMENT 2020-03-02 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 - -
REGISTERED AGENT ADDRESS CHANGED 2018-05-09 420 SOUTH COUNTRY CLUB ROAD, LAKE MARY, FL 32746 -
REINSTATEMENT 2018-05-09 - -
REGISTERED AGENT NAME CHANGED 2018-05-09 MARTIN, MIRTHA V, CPA -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 - -

Documents

Name Date
ANNUAL REPORT 2025-02-10
REINSTATEMENT 2024-11-12
ANNUAL REPORT 2023-04-27
ANNUAL REPORT 2022-04-25
ANNUAL REPORT 2021-04-30
REINSTATEMENT 2020-03-02
REINSTATEMENT 2018-05-09
Domestic Profit 2016-09-21

USAspending Awards / Financial Assistance

Date:
2020-05-05
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
8579.00
Total Face Value Of Loan:
77772.00
Date:
2017-07-21
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
438000.00
Total Face Value Of Loan:
438000.00
Date:
2017-07-21
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
438000.00
Total Face Value Of Loan:
438000.00

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$69,193
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$77,772
Race:
White
Ethnicity:
Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$68,452.88
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $77,772
Jobs Reported:
6
Initial Approval Amount:
$69,192
Date Approved:
2021-03-02
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$69,192
Race:
White
Ethnicity:
Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$69,563.55
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $69,189
Utilities: $1

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Date of last update: 01 Aug 2025

Sources: Florida Department of State