| Entity Name: | AMERICAN PEDIATRIC DENTAL BOCA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 17 Jul 2020 (5 years ago) |
| Date of dissolution: | 24 Jan 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 24 Jan 2022 (3 years ago) |
| Document Number: | P20000055191 |
| FEI/EIN Number | 85-2247762 |
| Address: | 9181 GLADES RD., SUITE 120, BOCA RATON, FL, 33434, US |
| Mail Address: | 10021 PINES BLVD., SUITE 100, PEMBROKE PINES, FL, 33024, US |
| ZIP code: | 33434 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992315295 | 2020-08-03 | 2020-08-03 | 9181 GLADES RD STE 120, BOCA RATON, FL, 334343940, US | 9181 GLADES RD STE 120, BOCA RATON, FL, 334343940, US | |||||||||||||||
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| Phone | +1 954-417-1337 |
| Fax | 9549984750 |
Authorized person
| Name | DR. WILLIAM A PENA |
| Role | OWNER/DENTIST |
| Phone | 9544171337 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PENA WILLIAM A | Agent | 10021 PINES BLVD., PEMBROKE PINES, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| PENA WILLIAM A | President | 10021 PINES BLVD., SUITE 100, PEMBROKE PINES, FL, 33024 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000092260 | AMERICAN PEDIATRIC DENTAL GROUP | ACTIVE | 2020-07-30 | 2025-12-31 | No data | 10021 PINES BLVD., SUITE #100, PEMBROKE PINES, FL, 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-01-24 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-01-24 |
| ANNUAL REPORT | 2021-04-25 |
| Domestic Profit | 2020-07-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
