| Entity Name: | COSMETIC & IMPLANT DESIGNS GROUP, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 27 Dec 2021 (3 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P21000105551 |
| FEI/EIN Number | 87-4224593 |
| Address: | 6600 COW PEN RD., STE 240, MIAMI LAKES, FL, 33014, US |
| Mail Address: | 6600 COW PEN RD., STE 240, MIAMI LAKES, FL, 33014, US |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457095630 | 2022-04-25 | 2022-04-25 | 4825 COCONUT CREEK PKWY, COCONUT CREEK, FL, 330633944, US | 4825 COCONUT CREEK PKWY, COCONUT CREEK, FL, 330633944, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 954-642-2203 |
Authorized person
| Name | DR. JOHNNY PERALTA LEE |
| Role | OWNER |
| Phone | 9543949364 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STESZEWSKI JONATHAN ESQ. | Agent | 15100 NW 67 AVE., SUITE 200, MIAMI LAKES, FL, 33014 |
| Name | Role | Address |
|---|---|---|
| PERALTA JOHNNY | President | 6600 COW PEN RD., STE 240, MIAMI LAKES, FL, 33014 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000002578 | COCONUT CREEK IMPLANT & COSMETIC DENTISTRY | ACTIVE | 2022-01-07 | 2027-12-31 | No data | 6600 COW PEN RD., STE 240, MIAMI LAKES, FL, 33014 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-01-20 |
| Domestic Profit | 2021-12-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
