| Entity Name: | SUAREZ COSMETIC DENTISTRY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Apr 2017 (8 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: | P17000030816 |
| FEI/EIN Number | 82-0733663 |
| Address: | 3801 PARK ST. N, SAINT PETERSBURG, FL, 33709, US |
| Mail Address: | 3801 PARK ST N., ST. PETERSBURG, FL, 33709, US |
| ZIP code: | 33709 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467993501 | 2017-03-08 | 2017-03-08 | 3801 PARK ST N, SUITE 1, ST PETERSBURG, FL, 337094078, US | 3801 PARK ST N, SUITE 1, ST PETERSBURG, FL, 337094078, US | |||||||||||||||||||||||
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| Fax | 8772576092 |
Authorized person
| Name | YOAN SUAREZ ZAYAS |
| Role | DENTIST |
| Phone | 7879226873 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN21413 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 016295100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| C&C BUSINESS MULTISERVICE LLC | Agent | 516 E 28 ST, HIALEAH, FL, 33013 |
| Name | Role | Address |
|---|---|---|
| ZAYAS YOAN S | Chief Executive Officer | 2098 SEMINOLE BLVD #6108, LARGIO, FL, 33778 |
| YAF WEST DENTAL INC. | Chief Executive Officer | No data |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-23 | 3801 PARK ST. N, STE 1, SAINT PETERSBURG, FL 33709 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-23 | 3801 PARK ST. N, STE 1, SAINT PETERSBURG, FL 33709 | No data |
| AMENDMENT | 2017-08-21 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-08-21 | C&C BUSINESS MULTISERVICE LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-08-21 | 516 E 28 ST, HIALEAH, FL 33013 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-23 |
| Amendment | 2017-08-21 |
| Domestic Profit | 2017-04-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
