| Entity Name: | LW PEDIATRIC DENTISTRY PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
LW PEDIATRIC DENTISTRY PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 16 Jan 2020 (5 years ago) |
| Document Number: | P20000003111 |
| FEI/EIN Number |
84-4310883
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 6910 LAKE WORTH RD, lake worth, FL, 33467, US |
| Mail Address: | 6910 LAKE WORTH RD, lake worth, FL, 33467, US |
| ZIP code: | 33467 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104450121 | 2020-02-28 | 2020-02-28 | 6910 LAKE WORTH RD, LAKE WORTH, FL, 334672978, US | 6910 LAKE WORTH RD, LAKE WORTH, FL, 334672978, US | |||||||||||||||||||||
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| Phone | +1 561-770-7321 |
| Fax | 5617250762 |
Authorized person
| Name | DR. DREW POPPER |
| Role | OWNER |
| Phone | 2034156875 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 017151100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| POPPER DREW | Agent | 6910 LAKE WORTH RD, lake worth, FL, 33467 |
| POPPER DREW | Director | 6910 LAKE WORTH RD, LAKE WORTH, FL, 33467 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000067721 | LAKE WORTH PEDIATRIC DENTISTRY | ACTIVE | 2020-06-16 | 2025-12-31 | - | 1009 W HERITAGE CLUB CIR., DELRAY BEACH, FL, 33483 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-24 | 6910 LAKE WORTH RD, lake worth, FL 33467 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-07-02 | 6910 LAKE WORTH RD, lake worth, FL 33467 | - |
| CHANGE OF MAILING ADDRESS | 2020-07-02 | 6910 LAKE WORTH RD, lake worth, FL 33467 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-25 |
| Domestic Profit | 2020-01-16 |
Date of last update: 01 May 2025
Sources: Florida Department of State
