| Entity Name: | METROWEST DENTAL CARE, CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 24 Feb 2022 (3 years ago) |
| Document Number: | P22000018257 |
| FEI/EIN Number | 88-1902985 |
| Address: | 1507 SOUTH HIAWASSEE RD, STE 209, ORLANDO, FL 32835 |
| Mail Address: | 1507 SOUTH HIAWASSEE RD, STE 209, ORLANDO, FL 32835 |
| ZIP code: | 32835 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467032524 | 2021-04-13 | 2022-07-07 | 1507 S HIAWASSEE RD STE 209, ORLANDO, FL, 328355719, US | 1507 S HIAWASSEE RD STE 209, ORLANDO, FL, 328355719, US | |||||||||||||||||||||||||||
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| Phone | +1 407-286-4750 |
| Fax | 4072864703 |
| Fax | 4072864732 |
Authorized person
| Name | DR. LUZ AIDA OSPINA |
| Role | OWNER |
| Phone | 2083120190 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | DENTAL LICENSE |
| Number | 23632 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JIRON & COMPANY CPA PA | Agent | 5200 SW 8TH ST, STE 201B, CORAL GABLES, FL 33134 |
| Name | Role | Address |
|---|---|---|
| OSPINA, LUZ A | President | 1919 SE 10TH AVE, FORT LAUDERDALE, FL 33316 UN |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000057530 | ORTHOIMPLANT DENTAL CLINIC FAMILY DENTISTRY | ACTIVE | 2022-05-06 | 2027-12-31 | No data | 1507 SOUTH HIAWASSEE RD, STE 209, ORLANDO, FL, 32835 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-02-24 | JIRON & COMPANY CPA PA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-24 | 5200 SW 8TH ST, STE 201B, CORAL GABLES, FL 33134 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-13 |
| ANNUAL REPORT | 2023-02-24 |
| Domestic Profit | 2022-02-24 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
