| Entity Name: | SHAPIRO FAMILY DENTISTRY OF BOYNTON BEACH PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 28 Nov 2018 (6 years ago) |
| Document Number: | P18000097205 |
| FEI/EIN Number | 83-2653266 |
| Mail Address: | 2247 PALM BEACH LAKES BLVD, SUITE 105, WEST PALM BEACH, FL 33409 |
| Address: | 9868 STATE ROAD 7, SUITE 200, BOYNTON BEACH, FL 33472 |
| ZIP code: | 33472 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558831990 | 2018-11-28 | 2018-11-28 | 2247 PALM BEACH LAKES BLVD STE 105, WEST PALM BEACH, FL, 334093408, US | 9868 S STATE ROAD 7 STE 200, BOYNTON BEACH, FL, 334724473, US | |||||||||||||||||||||||
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| Phone | +1 561-254-2868 |
| Fax | 5619980901 |
Authorized person
| Name | DR. DARI SHAPIRO |
| Role | PRESIDENT |
| Phone | 5612542868 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QS0112X - Oral and Maxillofacial Surgery Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Shapiro, Seth | Agent | 2247 Palm Beach Lake Blvd, Suite 104, WEST PALM BEACH, FL 33409 |
| Name | Role | Address |
|---|---|---|
| Seth, Shapiro | Treasurer | 2247 Palm Beach lks blvd, suite 104 West Palm Beach, FL 33409 |
| Name | Role | Address |
|---|---|---|
| SHAPIRO, DARI | President | 2247 Palm Beach Lakes Blvd, Ste 104 West Palm Beach, FL 33409 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-28 | 2247 Palm Beach Lake Blvd, Suite 104, WEST PALM BEACH, FL 33409 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-23 | Shapiro, Seth | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-05-04 |
| ANNUAL REPORT | 2019-04-23 |
| Domestic Profit | 2018-11-28 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
