| Entity Name: | FERN PARK DENTAL CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 19 Oct 2021 (3 years ago) |
| Document Number: | P21000090688 |
| FEI/EIN Number | 87-3192293 |
| Address: | 130 OXFORD RD, FERN PARK, FL 32730 |
| Mail Address: | 8803 FUTURES DR SUITE 14-B, ORLANDO, FL 32819 |
| ZIP code: | 32730 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932865474 | 2021-11-09 | 2021-11-09 | 130 OXFORD RD, FERN PARK, FL, 327302115, US | 130 OXFORD RD, FERN PARK, FL, 327302115, US | |||||||||||||
|
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| Phone | +1 407-831-1819 |
Authorized person
| Name | DR. RAFAEL NADAL |
| Role | PRESIDENT |
| Phone | 4073254844 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NADAL, RAFAEL | Agent | 130 OXFORD RD, FERN PARK, FL 32730 |
| Name | Role | Address |
|---|---|---|
| NADAL, RAFAEL | President | 130 OXFORD RD, FERN PARK, FL 32730 |
| Name | Role | Address |
|---|---|---|
| COLON, CINDY | Vice President | 130 OXFORD RD, FERN PARK, FL 32730 |
| Name | Role | Address |
|---|---|---|
| SANCHEZ, YANET | Manager | 8803 FUTURES DR, 14B ORLANDO, FL 32819 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-09-22 | 130 OXFORD RD, FERN PARK, FL 32730 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-30 |
| Domestic Profit | 2021-10-19 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
