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CANCER DENTAL SPECIALISTS, P.A. - Florida Company Profile

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Company Details

Entity Name: CANCER DENTAL SPECIALISTS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 22 Apr 2019 (6 years ago)
Last Event: AMENDMENT
Event Date Filed: 06 Jul 2022 (3 years ago)
Document Number: P19000033536
FEI/EIN Number 84-3496151
Address: 806 S. DOUGLAS ROAD - STE. 200 SOUTH TOWER, CORAL GABLES, FL, 33134, US
Mail Address: 806 S. DOUGLAS ROAD - STE. 200 SOUTH TOWER, CORAL GABLES, FL, 33134, US
ZIP code: 33134
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ROSEN EVAN B President 806 S. DOUGLAS ROAD - STE. 200 SOUTH TOWER, CORAL GABLES, FL, 33134
ROSEN EVAN B Secretary 806 S. DOUGLAS ROAD - STE. 200 SOUTH TOWER, CORAL GABLES, FL, 33134
ROSEN EVAN B Treasurer 806 S. DOUGLAS ROAD - STE. 200 SOUTH TOWER, CORAL GABLES, FL, 33134
ROSEN JOSEPH F Assistant Secretary 806 S. DOUGLAS ROAD - STE. 200 SOUTH TOWER, CORAL GABLES, FL, 33134
AXMAN MICHAEL Agent 866 SOUTH DIXIE HWY, CORAL GABLES, FL, 33146

National Provider Identifier

NPI Number:
1457990277
Certification Date:
2020-01-23

Authorized Person:

Name:
DR. EVAN ROSEN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2022-10-24 806 S. DOUGLAS ROAD - STE. 200 SOUTH TOWER, CORAL GABLES, FL 33134 -
AMENDMENT 2022-07-06 - -
REGISTERED AGENT NAME CHANGED 2022-07-06 AXMAN, MICHAEL -
REGISTERED AGENT ADDRESS CHANGED 2022-07-06 866 SOUTH DIXIE HWY, CORAL GABLES, FL 33146 -
AMENDMENT 2019-11-18 - -
CHANGE OF PRINCIPAL ADDRESS 2019-11-18 806 S. DOUGLAS ROAD - STE. 200 SOUTH TOWER, CORAL GABLES, FL 33134 -

Documents

Name Date
ANNUAL REPORT 2024-01-03
ANNUAL REPORT 2023-03-17
Amendment 2022-07-06
ANNUAL REPORT 2022-02-27
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-03-31
Amendment 2019-11-18
Domestic Profit 2019-04-22

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Date of last update: 02 Aug 2025

Sources: Florida Department of State