| Entity Name: | MICHAEL RODRIGUEZ, D.M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 21 Sep 2016 (8 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 12 Nov 2024 (3 months ago) |
| Document Number: | P16000078020 |
| FEI/EIN Number | 81-3796046 |
| Mail Address: | 2403 Lacy Ln, Carrollton, TX 75006 |
| Address: | 2860 SOUTH SEACREST BLVD, BOYTON BEACH, FL 33435 |
| ZIP code: | 33435 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174233563 | 2022-11-28 | 2022-11-28 | 2860 S SEACREST BLVD, BOYNTON BEACH, FL, 334357935, US | 2860 S SEACREST BLVD, BOYNTON BEACH, FL, 334357935, US | |||||||||||||
|
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| Phone | +1 407-908-8550 |
Authorized person
| Name | JENNY GARCIA-ROCHA |
| Role | LEAD OF CREDENTIALING |
| Phone | 9728693789 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARTIN, MIRTHA V, CPA | Agent | 420 SOUTH COUNTRY CLUB ROAD, LAKE MARY, FL 32746 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, MICHAEL, DMD | President | 2860 SOUTH SEACREST BLVD, DELRAY BEACH, FL 33483 |
| Name | Role | Address |
|---|---|---|
| Puckett, Justin | Officer | 2403 Lacy Ln, Carrollton, TX 75006 |
| 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 | No data | 318 FRANKLIN CLUB DRIVE, UNIT NO. 1305, DELRAY BEACH, FL, 33483 |
| G17000075803 | OCEAN DENTAL STUDIO | ACTIVE | 2017-07-14 | 2027-12-31 | No data | 2860 S SEACREST BLVD, BOYTON BEACH, FL, 33435 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-11-12 | 2860 SOUTH SEACREST BLVD, BOYTON BEACH, FL 33435 | No data |
| REINSTATEMENT | 2024-11-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-03-02 | 2860 SOUTH SEACREST BLVD, BOYTON BEACH, FL 33435 | No data |
| REINSTATEMENT | 2020-03-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-05-09 | 420 SOUTH COUNTRY CLUB ROAD, LAKE MARY, FL 32746 | No data |
| REINSTATEMENT | 2018-05-09 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-05-09 | MARTIN, MIRTHA V, CPA | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| 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 |
Date of last update: 18 Feb 2025
Sources: Florida Department of State
