| Entity Name: | GENTLE TEETH AND BRACES OF WESTON INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 16 Apr 2019 (6 years ago) |
| Document Number: | P19000033906 |
| FEI/EIN Number | 83-4529965 |
| Mail Address: | 14201 STIRLING ROAD, SOUTHWEST RANCHES, FL 33330 |
| Address: | 2751 EXECUTIVE PARK DRIVE, SUITE 204, WESTON, FL 33331 |
| ZIP code: | 33331 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679110100 | 2019-12-03 | 2019-12-03 | 2751 EXECUTIVE PARK DR STE 204, WESTON, FL, 333313661, US | 2751 EXECUTIVE PARK DR STE 204, WESTON, FL, 333313661, US | |||||||||||||
|
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| Phone | +1 954-217-0288 |
Authorized person
| Name | DR. CHANDY SAMUEL |
| Role | OWNER |
| Phone | 9542170288 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SAMUEL, CHANDY | Agent | 13951 STIRLING ROAD, SOUTHWEST RANCHES, FL 33330 |
| Name | Role | Address |
|---|---|---|
| SAMUEL, CHANDY | President | 14201 STIRLING ROAD, SOUTHWEST RANCHES, FL 33330 |
| Name | Role | Address |
|---|---|---|
| Samuel, Sydnee | Chief Financial Officer | 14201 STIRLING ROAD, SOUTHWEST RANCHES, FL 33330 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000006107 | GENTLE TEETH & BRACES | ACTIVE | 2020-01-14 | 2025-12-31 | No data | 2751 N UNIVERSITY DRIVE, SUITE #204, WESTON, FL, 33331 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-01-20 | 2751 EXECUTIVE PARK DRIVE, SUITE 204, WESTON, FL 33331 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-01-20 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-06-30 |
| Domestic Profit | 2019-04-16 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
