| Entity Name: | DORAL FAMILY DENTISTRY P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 18 Oct 2022 (2 years ago) |
| Document Number: | P22000079864 |
| FEI/EIN Number | 92-0734459 |
| Address: | 7885 NW 107TH AVENUE, BUILDING 4, 5, DORAL, FL 33178 |
| Mail Address: | 7885 NW 107TH AVENUE, BUILDING 4, SUITE 5, DORAL, FL 33178 |
| ZIP code: | 33178 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699483487 | 2022-11-10 | 2022-11-10 | 7885 NW 107TH AVE, DORAL, FL, 331784426, US | 7885 NW 107TH AVE, DORAL, FL, 331784426, US | |||||||||||||
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| Phone | +1 305-307-7017 |
Authorized person
| Name | DR. ROGELIO GARROTE |
| Role | PRESIDENT |
| Phone | 3053312685 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DORAL FAMILY DENTISTRY P.A. 401(K) PROFIT SHARING PLAN | 2023 | 920734459 | 2024-08-17 | DORAL FAMILY DENTISTRY P.A. | 10 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-08-17 |
| Name of individual signing | ROGELIO GARROTE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| GARROTE, ROGELIO | Agent | 7885 NW 107TH AVENUE, BUILDING 4, SUITE 5, DORAL, FL 33178 |
| Name | Role | Address |
|---|---|---|
| GARROTE, ROGELIO | President | 4530 SW 89TH AVENUE, MIAMI, FL 33165 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000128003 | MIDTOWN DORAL DENTAL | ACTIVE | 2017-11-21 | 2027-12-31 | No data | 7885 NW 107TH AVENUE, SUITE 4-05, DORAL, FL, 33178 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-10-20 | 7885 NW 107TH AVENUE, BUILDING 4, 5, DORAL, FL 33178 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-04-26 |
| Domestic Profit | 2022-10-18 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
