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YARELIS CARTAGENA DMD IV, PA - Florida Company Profile

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Company Details

Entity Name: YARELIS CARTAGENA DMD IV, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 03 Mar 2021 (4 years ago)
Document Number: P21000022127
FEI/EIN Number 86-2565049
Address: 8270 CHERRY LAKE, RD., GROVELAND, FL, 34736
Mail Address: 8270 CHERRY LAKE, RD., GROVELAND, FL, 34736
ZIP code: 34736
City: Groveland
County: Lake
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
CARTAGENA YARELIS DMD President 8270 CHERRY LAKE RD., GROVELAND, FL, 34736
CARTAGENA YARELIS DMD Secretary 8270 CHERRY LAKE RD., GROVELAND, FL, 34736
CARTAGENA YARELIS DMD Treasurer 8270 CHERRY LAKE RD., GROVELAND, FL, 34736

National Provider Identifier

NPI Number:
1457930083
Certification Date:
2023-06-20

Authorized Person:

Name:
YARELIS CARTAGENA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000116332 ASPEN DENTAL ACTIVE 2023-09-20 2028-12-31 - 281 SANDERS CREEK PARKWAY, EAST SYRACUSE, NY, 13057
G21000063929 ASPEN DENTAL ACTIVE 2021-05-10 2026-12-31 - 8270 CHERRY LAKE RD., GROVELAND, FL, 34736

Documents

Name Date
ANNUAL REPORT 2024-04-04
ANNUAL REPORT 2023-04-18
ANNUAL REPORT 2022-03-16
Domestic Profit 2021-03-03

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Date of last update: 02 Aug 2025

Sources: Florida Department of State