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ORTHOMIKE ORTHODONTICS PA

Company Details

Entity Name: ORTHOMIKE ORTHODONTICS PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 18 Jun 2020 (5 years ago)
Document Number: P20000046265
FEI/EIN Number 85-1493581
Address: 190 NW SPANISH RIVER BLVD, STE 100, BOCA RATON, FL 33431
Mail Address: 190 NW SPANISH RIVER BLVD, STE 100, BOCA RATON, FL 33431
ZIP code: 33431
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285252023 2020-07-08 2020-07-08 190 NW SPANISH RIVER BLVD STE 100, BOCA RATON, FL, 334314217, US 190 NW SPANISH RIVER BLVD STE 100, BOCA RATON, FL, 334314217, US

Contacts

Phone +1 561-289-4374

Authorized person

Name DR. MICHAEL THOMAS WIERNICKI
Role OWNER/PRESIDENT
Phone 5612894374

Taxonomy

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

Agent

Name Role Address
WIERNICKI, MICHAEL Agent 190 NW SPANISH RIVER BLVD, STE 100, BOCA RATON, FL 33431

President

Name Role Address
WIERNICKI, MICHAEL President 190 NW SPANISH RIVER BLVD, BOCA RATON, FL 33431

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000010727 ORTHOMIKE ORTHODONTICS ACTIVE 2024-01-18 2029-12-31 No data 1000 S OCEAN BLVD APT 12L, POMPANO BEACH, FL, 33062

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-04-16 190 NW SPANISH RIVER BLVD, STE 100, BOCA RATON, FL 33431 No data
CHANGE OF MAILING ADDRESS 2021-04-16 190 NW SPANISH RIVER BLVD, STE 100, BOCA RATON, FL 33431 No data
REGISTERED AGENT ADDRESS CHANGED 2021-04-16 190 NW SPANISH RIVER BLVD, STE 100, BOCA RATON, FL 33431 No data

Documents

Name Date
ANNUAL REPORT 2024-04-14
ANNUAL REPORT 2023-03-09
ANNUAL REPORT 2022-03-28
ANNUAL REPORT 2021-04-16
Domestic Profit 2020-06-18

Date of last update: 15 Feb 2025

Sources: Florida Department of State