| Entity Name: | PEDIATRIC DENTAL CENTER OF PALMETTO BAY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 17 Feb 2021 (4 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 18 May 2021 (4 years ago) |
| Document Number: | P21000017264 |
| FEI/EIN Number | 86-2292983 |
| Address: | 17037 S DIXIE HWY, PALMETTO BAY, FL 33157 |
| Mail Address: | 17037 S DIXIE HWY, PALMETTO BAY, FL 33157 |
| ZIP code: | 33157 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164003786 | 2021-04-15 | 2024-06-04 | 17037 S DIXIE HWY, PALMETTO BAY, FL, 331574362, US | 17037 S DIXIE HWY, PALMETTO BAY, FL, 331574362, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 786-368-6212 |
Authorized person
| Name | DR. ENRIQUE ACOSTA |
| Role | PRESIDENT |
| Phone | 7867320802 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Acosta, Enrique | Agent | 17037 S Dixie Hwy, Palmetto Bay, FL 33157 |
| Name | Role | Address |
|---|---|---|
| ACOSTA, ENRIQUE | President | 2645 DOUGLAS RD, SUITE 703 MIAMI, FL 33133 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-12-12 | Acosta, Enrique | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-12-12 | 17037 S Dixie Hwy, Palmetto Bay, FL 33157 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-08 | 17037 S DIXIE HWY, PALMETTO BAY, FL 33157 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-08 | 17037 S DIXIE HWY, PALMETTO BAY, FL 33157 | No data |
| NAME CHANGE AMENDMENT | 2021-05-18 | PEDIATRIC DENTAL CENTER OF PALMETTO BAY INC | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-12-12 |
| ANNUAL REPORT | 2024-02-16 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-18 |
| Name Change | 2021-05-18 |
| Domestic Profit | 2021-02-17 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
