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PLANTATION PALMS DENTAL P.A.

Company Details

Entity Name: PLANTATION PALMS DENTAL P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 Feb 2017 (8 years ago)
Document Number: P17000010967
FEI/EIN Number 81-5219610
Address: 1837 N. PINE ISLAND RD., PLANTATION, FL, 33322, US
Mail Address: 1837 N. PINE ISLAND RD., PLANTATION, FL, 33322, US
ZIP code: 33322
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1437667466 2018-01-11 2018-01-11 1837 N PINE ISLAND RD, PLANTATION, FL, 333225207, US 1837 N PINE ISLAND RD, PLANTATION, FL, 333225207, US

Contacts

Phone +1 954-350-0400

Authorized person

Name DR. GABRIEL SHVETS
Role DENTIST/OWNER
Phone 9543500400

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number DN21909
State FL
Is Primary Yes

Agent

Name Role Address
SHVETS GABRIEL Agent 1837 N. PINE ISLAND RD., PLANTATION, FL, 33322

Chief Executive Officer

Name Role Address
SHVETS GABRIEL Chief Executive Officer 1837 N. PINE ISLAND RD., PLANTATION, FL, 33322

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2019-06-18 1837 N. PINE ISLAND RD., PLANTATION, FL 33322 No data

Documents

Name Date
ANNUAL REPORT 2024-05-02
ANNUAL REPORT 2023-04-05
ANNUAL REPORT 2022-06-21
ANNUAL REPORT 2021-07-27
ANNUAL REPORT 2020-07-19
ANNUAL REPORT 2019-06-18
ANNUAL REPORT 2018-03-03
Domestic Profit 2017-02-01

Date of last update: 02 Feb 2025

Sources: Florida Department of State