| Entity Name: | MILLER PEDIATRIC DENTISTRY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 07 Dec 2018 (6 years ago) |
| Document Number: | P18000099913 |
| FEI/EIN Number | 83-2791879 |
| Mail Address: | 19041 Cypress Crik Court, Boca Raton, FL, 33498, US |
| Address: | 391 NORTH CONGRESS AVENUE, BOYNTON BEACH, FL, 33426, US |
| ZIP code: | 33426 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649738766 | 2019-03-07 | 2019-03-07 | 18164 BOCA WAY DR, BOCA RATON, FL, 334981518, US | 391 N CONGRESS AVE, BOYNTON BEACH, FL, 334263415, US | |||||||||||||
|
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| Phone | +1 561-715-6496 |
Authorized person
| Name | DR. MITCHELL H MILLER |
| Role | OWNER/PRESIDENT |
| Phone | 5617156496 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MILLER MITCHELL H | Agent | 19041 Cypress Crik Court, Boca Raton, FL, 33498 |
| Name | Role | Address |
|---|---|---|
| MILLER MITCHELL H | President | 19041 Cypress Crik Court, Boca Raton, FL, 33498 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000131186 | MILLER PEDIATRIC DENTISTRY AND ORTHODONTICS | ACTIVE | 2018-12-11 | 2028-12-31 | No data | 391 N CONGRESS AVE, BOYNTON BEACH, FL, 33426 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-03-29 | 391 NORTH CONGRESS AVENUE, BOYNTON BEACH, FL 33426 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-29 | 19041 Cypress Crik Court, Boca Raton, FL 33498 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-03-25 | 391 NORTH CONGRESS AVENUE, BOYNTON BEACH, FL 33426 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-03-29 |
| ANNUAL REPORT | 2022-02-08 |
| ANNUAL REPORT | 2021-03-11 |
| ANNUAL REPORT | 2020-01-24 |
| Domestic Profit | 2018-12-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
