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CHAMPAGNE DENTAL CORP. - Florida Company Profile

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Company Details

Entity Name: CHAMPAGNE DENTAL CORP.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

CHAMPAGNE DENTAL CORP. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 12 Apr 2018 (7 years ago)
Document Number: P18000034608
FEI/EIN Number 82-5210299

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 2385 NW EXECUTIVE CENTER DRIVE, SUITE 100, BOCA RATON, FL, 33431, US
Mail Address: 2385 NW EXECUTIVE CENTER DRIVE, SUITE 100, BOCA RATON, FL, 33431, US
ZIP code: 33431
City: Boca Raton
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GEORGE E. HITZEL DDS PA Vice President 1330 SOUTH BELCHER ROAD, CLEARWATER, FL, 33764
HITZEL GEORGE E President 1330 SOUTH BELCHER RD, CLEARWATER, FL, 33764
KAY HOLLY Vice President 1330 SOUTH BELCHER ROAD, CLEARWATER, FL, 33764
KAY HOLLY Agent 1330 SOUTH BELCHER RD, CLEARWATER, FL, 33764
Guardian Dentistry Partners Officer 2385 NW EXECUTIVE CENTER DRIVE, BOCA RATON, FL, 33431

National Provider Identifier

NPI Number:
1265918312

Authorized Person:

Name:
HOLLY KAY
Role:
VICE PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
No
Selected Taxonomy:
122300000X - Dentist
Is Primary:
No
Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
7275351185

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000076429 CHAMPAGNE DENTAL CARE EXPIRED 2019-07-15 2024-12-31 - 2385 NW EXECUTIVE CENTER DR, #100, BOCA RATON, FL, 33431
G18000069519 GEORGE E. HITZEL DDS ACTIVE 2018-06-19 2028-12-31 - 2385 NW EXECUTIVE CENTER DR, #100, BOCA RATON, FL, 33431

Documents

Name Date
ANNUAL REPORT 2024-02-15
ANNUAL REPORT 2023-01-18
ANNUAL REPORT 2022-02-08
ANNUAL REPORT 2021-03-01
AMENDED ANNUAL REPORT 2020-05-14
ANNUAL REPORT 2020-03-24
ANNUAL REPORT 2019-06-17
Domestic Profit 2018-04-12

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Date of last update: 03 Jul 2025

Sources: Florida Department of State