| Entity Name: | FLORIDA DENTAL SPECIALTY SERVICES INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 Jul 2021 (4 years ago) |
| Document Number: | P21000063582 |
| FEI/EIN Number | 87-1623798 |
| Address: | 2760 HACKNEY ROAD, WESTON, FL, 33331 |
| Mail Address: | 2760 HACKNEY ROAD, WESTON, FL, 33331 |
| ZIP code: | 33331 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891468492 | 2021-07-29 | 2021-07-29 | 2760 HACKNEY RD, WESTON, FL, 333313001, US | 800 UNITED ST, KEY WEST, FL, 330403247, US | |||||||||||||||
|
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| Phone | +1 415-602-6907 |
| Phone | +1 305-296-2722 |
Authorized person
| Name | DR. NATHAN EBERLE |
| Role | SURGEON |
| Phone | 4156026907 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Eberle Nathan | Agent | 17160 Royal Palm Blvd, weston, FL, 33326 |
| Name | Role | Address |
|---|---|---|
| EBERLE MICHELLE | President | 2760 HACKNEY ROAD, WESTON, FL, 33331 |
| Name | Role | Address |
|---|---|---|
| EBERLE MICHELLE | Secretary | 2760 HACKNEY ROAD, WESTON, FL, 33331 |
| Name | Role | Address |
|---|---|---|
| Eberle Nathan | Vice President | 2760 HACKNEY ROAD, WESTON, FL, 33331 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000154558 | KEYS DENTAL SPECIALISTS | ACTIVE | 2022-12-15 | 2027-12-31 | No data | 800 UNITED ST, KEY WEST, FL, 33040 |
| G21000156852 | KEYS DENTAL SPECIALISTS | ACTIVE | 2021-11-24 | 2026-12-31 | No data | 2760 HACKNEY RD, WESTON, FL, 33331 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-03-14 | Eberle, Nathan | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-14 | 17160 Royal Palm Blvd, 4, weston, FL 33326 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-28 |
| ANNUAL REPORT | 2023-03-14 |
| ANNUAL REPORT | 2022-04-01 |
| Domestic Profit | 2021-07-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
