| Entity Name: | DELRAY SMILES FAMILY DENTISTRY AND ORTHODONTICS, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 11 Dec 2017 (7 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P17000097618 |
| FEI/EIN Number | 82-3845148 |
| Address: | 15084 LYONS ROAD, SUITE 600, DELRAY, FL 33446 |
| Mail Address: | 3350 SW 148 AVENUE, SUITE 134, MIRAMAR, FL 33027 |
| ZIP code: | 33446 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992263255 | 2019-03-06 | 2019-03-06 | 15084 LYONS ROAD, SUITE #600, DELRAY, FL, 33446, US | 15084 LYONS ROAD, SUITE #600, DELRAY, FL, 33446, US | |||||||||||||
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| Phone | +1 305-992-8829 |
Authorized person
| Name | DR. ANDREA TRUJILLO |
| Role | OWNER |
| Phone | 9548173703 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TRUJILLO, ANDREA | Agent | 3350 MIRAMAR PARKWAY, SUITE 134, MIRAMAR, FL 33027 |
| Name | Role | Address |
|---|---|---|
| TRUJILLO, ANDREA | President | 3350 MIRAMAR PARKWAY, SUITE 134, MIRAMAR, FL 33027 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000053027 | WEST DELRAY SMILES | EXPIRED | 2019-04-30 | 2024-12-31 | No data | 15084 LYONS RD SUITE 600, DELRAY, FL, 33446 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2019-02-19 | DELRAY SMILES FAMILY DENTISTRY AND ORTHODONTICS, PA | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-19 | 15084 LYONS ROAD, SUITE 600, DELRAY, FL 33446 | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-19 | 15084 LYONS ROAD, SUITE 600, DELRAY, FL 33446 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-28 | 3350 MIRAMAR PARKWAY, SUITE 134, MIRAMAR, FL 33027 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-02-23 |
| Amendment and Name Change | 2019-02-19 |
| ANNUAL REPORT | 2018-03-28 |
| Domestic Profit | 2017-12-11 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
