| Entity Name: | DENTISTRY OF SOUTH FLORIDA, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 26 Jan 2018 (7 years ago) |
| Document Number: | P18000009039 |
| FEI/EIN Number | 263470614 |
| Mail Address: | 1348 E HILLSBORO BLVD, DEERFIELD BEACH, FL, 33441, US |
| Address: | 1348 E HILLSBORO BLVD, #D, DEERFIELD BEACH, FL, 33441, US |
| ZIP code: | 33441 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790364511 | 2021-04-07 | 2021-04-07 | 1348 E HILLSBORO BLVD, DEERFIELD BEACH, FL, 334414241, US | 1348 E HILLSBORO BLVD, DEERFIELD BEACH, FL, 334414241, US | |||||||||||||
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| Phone | +1 954-427-3000 |
Authorized person
| Name | STACY MCDANIEL |
| Role | ASSISTANT MANAGER |
| Phone | 9544273000 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BERKOVICH ANGELA DR. | Agent | 1348 E HILLSBORO BLVD, DEERFIELD BEACH, FL, 33441 |
| Name | Role | Address |
|---|---|---|
| BERKOVICH ANGELA DR. | President | 1348 E HILLSBORO BLVD, DEERFIELD BEACH, FL, 33441 |
| Name | Role | Address |
|---|---|---|
| BERKOVICH ANGELA | Vice President | 1348 E HILLSBORO BLVD, DEERFIELD BEACH, FL, 33441 |
| Name | Role | Address |
|---|---|---|
| berkovich Alex | Chief Financial Officer | 1348 E HILLSBORO BLVD, DEERFIELD BEACH, FL, 33441 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000142484 | DENTISTRY OF SOUTH FLORIDA FAMILY & EMERGENCY DENTISTS | ACTIVE | 2022-11-16 | 2027-12-31 | No data | 1348 E HILLSBORO BLVD, SUIT B, DEERFIELD BEACH, FL, 33441 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-01-22 |
| ANNUAL REPORT | 2022-03-19 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-02-03 |
| ANNUAL REPORT | 2019-04-28 |
| Domestic Profit | 2018-01-26 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
