| Entity Name: | ATLANTIC DENTAL MANAGEMENT COMPANY, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 08 Nov 2019 (5 years ago) |
| Document Number: | P19000086796 |
| FEI/EIN Number | 84-3782256 |
| Address: | 109 CASA GRANDE CT, PALM BEACH GARDENS, FL 33418 |
| Mail Address: | 109 CASA GRANDE CT, PALM BEACH GARDENS, FL 33418 |
| ZIP code: | 33418 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306450556 | 2020-09-04 | 2020-09-04 | 1449 NW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL, 349861968, US | 1449 NW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL, 349861968, US | |||||||||||||||
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| Phone | +1 772-348-4409 |
| Fax | 7723484344 |
Authorized person
| Name | SCOTT AZARI |
| Role | OWNER |
| Phone | 7723484409 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AZARI, SCOTT | Agent | 109 CASA GRANDE CT, PALM BEACH GARDENS, FL 33418 |
| Name | Role | Address |
|---|---|---|
| Azari, Scott | President | 109 Casa Grande Ct, Palm Beach Gardens, FL 33418 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000125620 | LUCIE DENTAL | EXPIRED | 2019-11-25 | 2024-12-31 | No data | 901 SW MARTIN DOWNS BLVD, PALM CITY, FL, 34990 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-07-15 | 109 CASA GRANDE CT, PALM BEACH GARDENS, FL 33418 | No data |
| CHANGE OF MAILING ADDRESS | 2022-07-15 | 109 CASA GRANDE CT, PALM BEACH GARDENS, FL 33418 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-07-15 | AZARI, SCOTT | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-07-15 | 109 CASA GRANDE CT, PALM BEACH GARDENS, FL 33418 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-07-15 |
| ANNUAL REPORT | 2021-01-25 |
| AMENDED ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2020-02-18 |
| Domestic Profit | 2019-11-08 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
