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BRICKELL DENTISTRY PA

Company Details

Entity Name: BRICKELL DENTISTRY PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 27 Feb 2020 (5 years ago)
Document Number: P20000019361
FEI/EIN Number 85-1911133
Address: 444 BRICKELL AVENUE, SUITE #48, MIAMI, FL, 33131, US
Mail Address: 444 BRICKELL AVENUE, SUITE #48, MIAMI, FL, 33131, US
ZIP code: 33131
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912511361 2020-09-03 2020-09-03 444 BRICKELL AVE STE 48, MIAMI, FL, 331312403, US 444 BRICKELL AVE STE 48, MIAMI, FL, 331312403, US

Contacts

Phone +1 305-371-6040

Authorized person

Name DR. JOSEPH RYAN GRIDER
Role OWNER/PRESIDENT
Phone 3059680155

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Agent

Name Role Address
Grider Joseph Agent 444 BRICKELL AVENUE, MIAMI, FL, 33131

President

Name Role Address
GRIDER JOSEPH R President 444 BRICKELL AVENUE, SUITE #48, MIAMI, FL, 33131

Secretary

Name Role Address
GRIDER JOSEPH R Secretary 444 BRICKELL AVENUE, SUITE #48, MIAMI, FL, 33131

Treasurer

Name Role Address
GRIDER JOSEPH R Treasurer 444 BRICKELL AVENUE, SUITE #48, MIAMI, FL, 33131

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-02-25 Grider, Joseph No data
REGISTERED AGENT ADDRESS CHANGED 2024-02-25 444 BRICKELL AVENUE, SUITE #48, MIAMI, FL 33131 No data

Documents

Name Date
ANNUAL REPORT 2024-02-25
ANNUAL REPORT 2023-01-28
ANNUAL REPORT 2022-02-07
ANNUAL REPORT 2021-04-18
Domestic Profit 2020-02-27

Date of last update: 01 Feb 2025

Sources: Florida Department of State