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DENTISTS OF FORT LAUDERDALE, PA

Company Details

Entity Name: DENTISTS OF FORT LAUDERDALE, PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 30 Jan 2019 (6 years ago)
Document Number: P19000008600
FEI/EIN Number 83-3631193
Mail Address: 17000 RED HILL AVE., IRVINE, CA 92614
Address: 1865 CORDOVA RD., FORT LAUDERDALE, FL 33316
ZIP code: 33316
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1629536818 2019-03-06 2022-02-08 PO BOX 920050, DALLAS, TX, 753920050, US 1865 CORDOVA RD, FORT LAUDERDALE, FL, 333162198, US

Contacts

Phone +1 954-947-1458

Authorized person

Name DR. ALESSANDRA SIGILLO
Role OWNER/DDS
Phone 9549471458

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes

Agent

Name Role
COGENCY GLOBAL INC. Agent

President

Name Role Address
Sigillo, Alessandra President 17000 RED HILL AVE., IRVINE, CA 92614

Chief Financial Officer

Name Role Address
Gonzales, Nathaniel S. Chief Financial Officer 17000 RED HILL AVE., IRVINE, CA 92614

Secretary

Name Role Address
Pham, Minh B. Secretary 17000 RED HILL AVE., IRVINE, CA 92614

Director

Name Role Address
Gonzales, Nathaniel S. Director 17000 RED HILL AVE., IRVINE, CA 92614
Pham, Minh B. Director 17000 RED HILL AVE., IRVINE, CA 92614
Sigillo, Alessandra Director 17000 RED HILL AVE., IRVINE, CA 92614

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000086316 DENTISTS OF FORT LAUDERDALE EXPIRED 2019-08-15 2024-12-31 No data 17000 RED HILL AVENUE, ATTN: LEGAL DEPARTMENT, IRVINE, CA, 92614

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-06-13 115 N. CALHOUN ST., STE 4, TALLAHASSEE, FL 32301 No data
CHANGE OF MAILING ADDRESS 2021-04-09 1865 CORDOVA RD., FORT LAUDERDALE, FL 33316 No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J22000350365 TERMINATED 1000000928615 BROWARD 2022-07-15 2032-07-20 $ 350.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156

Documents

Name Date
ANNUAL REPORT 2024-04-17
ANNUAL REPORT 2023-04-17
ANNUAL REPORT 2022-03-22
Reg. Agent Change 2021-12-06
ANNUAL REPORT 2021-04-09
ANNUAL REPORT 2020-04-13
Domestic Profit 2019-01-30

Date of last update: 17 Jan 2025

Sources: Florida Department of State