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BROC FLORES, DMD, P.A. - Florida Company Profile

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Company Details

Entity Name: BROC FLORES, DMD, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 06 Oct 2022 (3 years ago)
Document Number: P22000076971
FEI/EIN Number 920612413
Address: 5911 TIMUQUANA RD., SUITE 202, JACKSONVILLE, FL, 32210, US
Mail Address: 5911 TIMUQUANA RD., SUITE 202, JACKSONVILLE, FL, 32210, US
ZIP code: 32210
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FLORES BROC President 4630 Arlon Ln, JACKSONVILLE, FL, 32210
FLORES BROC Agent 5911 TIMUQUANA RD., JACKSONVILLE, FL, 32210

National Provider Identifier

NPI Number:
1043935596
Certification Date:
2022-10-06

Authorized Person:

Name:
BROC FLORES
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000155329 ORTEGA DENTAL ACTIVE 2022-12-16 2027-12-31 - 5911 TIMUQUANA RD, STE 202, JACKSONVILLE, FL, 32210

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-04-26 5911 TIMUQUANA RD., SUITE 202, JACKSONVILLE, FL 32210 -
CHANGE OF MAILING ADDRESS 2023-10-04 5911 TIMUQUANA RD., SUITE 202, JACKSONVILLE, FL 32210 -

Documents

Name Date
ANNUAL REPORT 2024-04-26
ANNUAL REPORT 2023-03-03
Domestic Profit 2022-10-06

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Date of last update: 01 Aug 2025

Sources: Florida Department of State