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PEDIATRIC DENTAL CENTER OF RIVER LANDING, INC

Company Details

Entity Name: PEDIATRIC DENTAL CENTER OF RIVER LANDING, INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 21 Oct 2020 (4 years ago)
Document Number: P20000084802
FEI/EIN Number 85-3746593
Address: 1440 NW North River Drive, SUITE 345, MIAMI, FL 33125
Mail Address: 1440 NW North River Drive, SUITE 345, MIAMI, FL 33125
ZIP code: 33125
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215518824 2021-04-15 2024-06-04 1440 NW NORTH RIVER DR STE 345, MIAMI, FL, 331252894, US 1440 NW NORTH RIVER DR STE 345, MIAMI, FL, 331252894, US

Contacts

Phone +1 786-368-6212

Authorized person

Name ENRIQUE ACOSTA
Role PRESIDENT OWNER
Phone 7863539887

Taxonomy

Taxonomy Code 1223P0221X - Pediatric Dentist
Is Primary Yes
Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary No

Agent

Name Role Address
Acosta, Enrique Agent 1440 Nw North River Drive, Suite 345, Miami, FL 33125

President

Name Role Address
ACOSTA, ENRIQUE President 2645 DOUGLAS RD, STE 703, MIAMI, FL 33133

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-12-12 Acosta, Enrique No data
REGISTERED AGENT ADDRESS CHANGED 2024-12-12 1440 Nw North River Drive, Suite 345, Miami, FL 33125 No data
CHANGE OF MAILING ADDRESS 2024-02-04 1440 NW North River Drive, SUITE 345, MIAMI, FL 33125 No data
CHANGE OF PRINCIPAL ADDRESS 2021-05-18 1440 NW North River Drive, SUITE 345, MIAMI, FL 33125 No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-12-12
ANNUAL REPORT 2024-02-16
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-01-18
ANNUAL REPORT 2021-02-21
Domestic Profit 2020-10-21

Date of last update: 15 Jan 2025

Sources: Florida Department of State