| Entity Name: | THE GREEN DENTAL STUDIO, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
THE GREEN DENTAL STUDIO, PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 05 Jan 2022 (3 years ago) |
| Document Number: | P22000000618 |
| FEI/EIN Number |
87-4303819
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1330 SE 4TH AVE STE L, FT LAUDERDALE, FL, 33316, US |
| Mail Address: | 1330 SE 4TH AVE STE L, FT LAUDERDALE, FL, 33316, US |
| ZIP code: | 33316 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134825052 | 2023-02-02 | 2023-02-02 | 1330 SE 4TH AVE STE L, FORT LAUDERDALE, FL, 333161958, US | 1330 SE 4TH AVE STE L, FORT LAUDERDALE, FL, 333161958, US | |||||||||||||||||||
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| Phone | +1 954-990-8389 |
Authorized person
| Name | DR. JOSE ANTONIO ALFONSO |
| Role | OWNER |
| Phone | 7866148927 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1760008486 |
| State | NJ |
| Name | Role | Address |
|---|---|---|
| GUERRA ECHEVARRIA ARLEIDYS DR | President | 1330 SE 4TH AVE STE L, FT LAUDERDALE, FL, 33316 |
| ALFONSO RODRIGUEZ JOSE ANTONIO DR | Vice President | 1330 SE 4TH AVE STE L, FT LAUDERDALE, FL, 33316 |
| STESZEWSKI JONATHAN ESQ | Agent | 15100 NW 67 AVE STE 200, MIAMI LAKES, FL, 33014 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-21 |
| ANNUAL REPORT | 2023-04-27 |
| Domestic Profit | 2022-01-05 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
