| Entity Name: | DENTILIFE FOUR, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
DENTILIFE FOUR, 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: | 14 Aug 2020 (5 years ago) |
| Document Number: | P20000061897 |
| FEI/EIN Number |
85-2594416
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5473 N STATE ROAD 7, TAMARAC, FL, 33319, US |
| Mail Address: | 5473 N STATE ROAD 7, TAMARAC, FL, 33319, US |
| ZIP code: | 33319 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891309514 | 2020-09-01 | 2020-09-01 | 5473 N STATE ROAD 7, FORT LAUDERDALE, FL, 333192954, US | 5473 N STATE ROAD 7, FORT LAUDERDALE, FL, 333192954, US | |||||||||||||||||||
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| Phone | +1 954-486-7025 |
Authorized person
| Name | CINTHYA FERRADAZ |
| Role | CREDENTIALING |
| Phone | 7868991436 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003823700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CALDERON ERIK O | President | 5473 N STATE ROAD 7, TAMARAC, FL, 33319 |
| CALDERON ERIK O | Agent | 5473 N STATE ROAD 7, TAMARAC, FL, 33319 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-03-27 | CALDERON, ERIK O | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-27 | 5473 N STATE ROAD 7, TAMARAC, FL 33319 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-03-17 |
| ANNUAL REPORT | 2021-03-27 |
| Domestic Profit | 2020-08-14 |
Date of last update: 03 May 2025
Sources: Florida Department of State
