| Entity Name: | CORAL GABLES DENTISTRY & PROSTHODONTICS, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 21 Jul 2020 (5 years ago) |
| Last Event: | AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 14 Sep 2020 (4 years ago) |
| Document Number: | P20000056468 |
| FEI/EIN Number | 85-2259721 |
| Address: | 3326 PONCE DE LEON BLVD, CORAL GABLES, FL 33134 |
| Mail Address: | 3326 PONCE DE LEON BLVD, CORAL GABLES, FL 33134 |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760147441 | 2021-11-08 | 2021-11-19 | 3326 PONCE DE LEON BLVD, CORAL GABLES, FL, 331347211, US | 3326 PONCE DE LEON BLVD, CORAL GABLES, FL, 331347211, US | |||||||||||||||||
|
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| Phone | +1 305-567-1992 |
Authorized person
| Name | DR. CRISTINA OSORIO |
| Role | OWNER OPERATOR |
| Phone | 3055671992 |
Taxonomy
| Taxonomy Code | 1223P0700X - Prosthodontist |
| Is Primary | Yes |
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| OSORIO, CRISTINA | Agent | 3326 Ponce De Leon Blvd, Coral Gables, FL 33134 |
| Name | Role | Address |
|---|---|---|
| OSORIO, CRISTINA, DDS | President | 3326 Ponce De Leon Blvd, Coral Gables, FL 33134 |
| Name | Role | Address |
|---|---|---|
| OSORIO, CRISTINA, DDS | Treasurer | 3326 Ponce De Leon Blvd, Coral Gables, FL 33134 |
| Name | Role | Address |
|---|---|---|
| DAVILA, LAURA J, DDS | Vice President | 3326 Ponce De Leon Blvd, Coral Gables, FL 33134 |
| Name | Role | Address |
|---|---|---|
| DAVILA, LAURA J, DDS | Secretary | 3326 Ponce De Leon Blvd, Coral Gables, FL 33134 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000047255 | CORAL GABLES DENTISTRY | ACTIVE | 2024-04-08 | 2029-12-31 | No data | 3326 PONCE DE LEON BLVD, CORAL GABLES, FL, 33134 |
| G24000047257 | CORAL GABLES PROSTHODONTICS | ACTIVE | 2024-04-08 | 2029-12-31 | No data | 3326 PONCE DE LEON BLVD, CORAL GABLES, FL, 33134 |
| G24000047258 | CORAL GABLES DENTISTRY & PROSTHODONTICS | ACTIVE | 2024-04-08 | 2029-12-31 | No data | 3326 PONCE DE LEON BLVD, CORAL GABLES, FL, 33134 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-08 | 3326 Ponce De Leon Blvd, Coral Gables, FL 33134 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-01 | 3326 PONCE DE LEON BLVD, CORAL GABLES, FL 33134 | No data |
| AMENDMENT AND NAME CHANGE | 2020-09-14 | CORAL GABLES DENTISTRY & PROSTHODONTICS, PA | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-09-14 | 3326 PONCE DE LEON BLVD, CORAL GABLES, FL 33134 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-04-08 |
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-02-01 |
| Amendment and Name Change | 2020-09-14 |
| Domestic Profit | 2020-07-21 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
