| Entity Name: | NARANJA FAMILY DENTISTRY PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 16 Feb 2018 (7 years ago) |
| Date of dissolution: | 11 Jan 2023 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 11 Jan 2023 (2 years ago) |
| Document Number: | P18000016261 |
| FEI/EIN Number | 82-4440682 |
| Address: | 401 Coral Way Ste 300, Coral Gables, FL, 33134, US |
| Mail Address: | 401 MIRACLE MILE, CORAL GABLES, FL, 33134, US |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033616560 | 2018-04-11 | 2018-04-11 | 27325 S DIXIE HWY, NARANJA, FL, 330328233, US | 27325 S DIXIE HWY, NARANJA, FL, 330328233, US | |||||||||||||||||||||||
|
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| Phone | +1 786-601-2644 |
Authorized person
| Name | RODOLFO LEA PLAZA |
| Role | DENTIST |
| Phone | 7866012644 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN19240 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 015905000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LEA PLAZA RODOLFO | Agent | 401 Coral Way Ste 300, Coral Gables, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| LEA PLAZA RODOLFO | President | 401 Coral Way Ste 300, Coral Gables, FL, 33134 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000088690 | HOLLYWOOD PERFECT SMILE AT CORAL GABLES | ACTIVE | 2021-07-06 | 2026-12-31 | No data | 401 CORAL WAY STE 300, CORAL GABLE, FL, 33134 |
| G21000085482 | HOLLYWOOD PERFECT SMILE AT CORAL GABLES | ACTIVE | 2021-06-28 | 2026-12-31 | No data | 401 MIRACLE MILE, STE 300, CORAL GABLES, FL, 33134 |
| G20000071777 | HOLLYWOOD PERFECT SMILE AT CORAL GABLES | ACTIVE | 2020-06-25 | 2025-12-31 | No data | 401 MIRACLE MILE STE 209, CORAL GABLES, FL, 33134 |
| G20000051000 | MIAMI PERFECT SMILE | ACTIVE | 2020-05-08 | 2025-12-31 | No data | 1660 SW 1 ST, MIAMI, FL, 33135 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-01-11 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-14 | 401 Coral Way Ste 300, SUITE 300, Coral Gables, FL 33134 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-14 | 401 Coral Way Ste 300, Coral Gables, FL 33134 | No data |
| AMENDMENT | 2021-09-10 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-12 | 401 Coral Way Ste 300, SUITE 300, Coral Gables, FL 33134 | No data |
| AMENDMENT | 2019-08-19 | No data | No data |
| AMENDMENT | 2019-05-24 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-01-11 |
| ANNUAL REPORT | 2022-03-14 |
| Amendment | 2021-09-10 |
| ANNUAL REPORT | 2021-01-22 |
| ANNUAL REPORT | 2020-05-08 |
| Amendment | 2019-08-19 |
| Amendment | 2019-05-24 |
| ANNUAL REPORT | 2019-02-26 |
| Domestic Profit | 2018-02-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
