| Entity Name: | SOUTH DENTAL AT MIDTOWN-SPA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 May 2017 (8 years ago) |
| Document Number: | P17000044327 |
| FEI/EIN Number | 82-1614713 |
| Address: | SOUTH DENTAL AT MIDTOWN-SPA INC, 3301 NE 1ST AVE, MIAMI, FL, 33137, US |
| Mail Address: | South Dental at Midtown -Spa, 3301 NE 1ST AVENUE, MIAMI, FL, 33137, US |
| ZIP code: | 33137 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629586813 | 2018-01-22 | 2018-01-22 | 3301 NE 1ST AVE STE 103, MIAMI, FL, 331374188, US | 3301 NE 1ST AVE STE 103, MIAMI, FL, 331374188, US | |||||||||||||
|
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| Phone | +1 786-646-2995 |
Authorized person
| Name | CARLOS LACAYO |
| Role | REGIONAL MANAGER |
| Phone | 7862240848 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| SOUTH DENTAL MANAGEMENT SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| ELIAS TOBON ANGEL, DMD | President | 401 CORAL WAY ST #109, MIAMI, FL, 33137 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-14 | SOUTH DENTAL AT MIDTOWN-SPA INC, 3301 NE 1ST AVE, #103, MIAMI, FL 33137 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-14 | SOUTH DENTAL AT MIDTOWN-SPA INC, 3301 NE 1ST AVE, #103, MIAMI, FL 33137 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-28 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-06-16 |
| ANNUAL REPORT | 2019-03-29 |
| ANNUAL REPORT | 2018-04-20 |
| Domestic Profit | 2017-05-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
