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MIAMI DENTAL COMMUNITY, P.A. - Florida Company Profile

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Company Details

Entity Name: MIAMI DENTAL COMMUNITY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 15 Sep 2020 (5 years ago)
Document Number: P20000071887
FEI/EIN Number 853659339
Address: 12333 NW 18 ST STE 4, PEMBROKE PINES, FL, 33026, US
Mail Address: 12333 NW 18 ST STE 4, PEMBROKE PINES, FL, 33026, US
ZIP code: 33026
City: Hollywood
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HERDOCIA FILIBERTO DR President 15100 NW 67TH AVE STE 200, MIAMI LAKES, FL, 33014
Delgado Adriana Dent 12333 NW 18th St, Pembroke Pines, FL, 33026
Molinares Christian Officer 12333 NW 18th St, Pembroke Pines, FL, 33026
STESZEWSHI JONATHAN ESQ Agent 151100 NW 67TH AVE STE 200, MIAMI LAKES, FL, 33014

National Provider Identifier

NPI Number:
1417543588
Certification Date:
2020-12-14

Authorized Person:

Name:
CHRISTIAN MOLINARES
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
1223E0200X - Endodontist
Is Primary:
No
Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
No
Selected Taxonomy:
1223P0300X - Periodontist
Is Primary:
No
Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
No
Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
853659339
Plan Year:
2023
Number Of Participants:
0
Sponsors Telephone Number:

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-04-28
Domestic Profit 2020-09-15

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Date of last update: 03 Aug 2025

Sources: Florida Department of State