| Entity Name: | FORMA DENT, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Jan 2021 (4 years ago) |
| Document Number: | P21000002238 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 5501 N University Dr, Coral springs, FL, 33014, US |
| Mail Address: | 5501 N University Dr, Coral springs, FL, 33014, US |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| JONATHAN STESZEWSKI, ESQ. | Agent | 15100 N.W. 67TH AVE, STE 200, MIAMI LAKES, FL, 33014 |
| Name | Role | Address |
|---|---|---|
| DR. WILLIAM FORERO | President | 5501 N University Dr, Coral springs, FL, 33014 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000018723 | COSMETIC IMPLANT DENTISTRY | ACTIVE | 2021-02-08 | 2026-12-31 | No data | 15100 NW 67TH AVE STE 200, MIAMI LAKES, FL, 33014 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-28 | 5501 N University Dr, Suite 102, Coral springs, FL 33014 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-28 | 5501 N University Dr, Suite 102, Coral springs, FL 33014 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-20 |
| ANNUAL REPORT | 2023-02-04 |
| ANNUAL REPORT | 2022-04-28 |
| Domestic Profit | 2021-01-12 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
