| Entity Name: | RIVIERA DENTAL CARE PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 May 2023 (2 years ago) |
| Document Number: | P23000035478 |
| FEI/EIN Number | 923884363 |
| Address: | 7951 Riviera Blvd, Ste 102, Miramar, FL, 33023, US |
| Mail Address: | 7951 Riviera Blvd, Ste 102, Miramar, FL, 33023, US |
| ZIP code: | 33023 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952083776 | 2023-08-02 | 2023-08-02 | 1530 WEEPING WILLOW WAY, HOLLYWOOD, FL, 330194856, US | 7951 RIVIERA BLVD STE 102, MIRAMAR, FL, 330236436, US | |||||||||||||
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| Phone | +1 954-404-8057 |
Authorized person
| Name | DALIA ROSENFELD |
| Role | PRESIDENT |
| Phone | 3475549110 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RIVIERA DENTAL CARE PA 401(K) PROFIT SHARING PLAN & TRUST | 2023 | 923884363 | 2024-05-20 | RIVIERA DENTAL CARE PA | 0 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-05-20 |
| Name of individual signing | DALIA ROSENFELD |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| COHEN ERIC J | Agent | 5255 N FEDERAL HWY, BOCA RATON, FL, 33487 |
| Name | Role | Address |
|---|---|---|
| ROSENFELD DALIA | President | 1530 WEEPING WILLOW WAY, HOLLYWOOD, FL, 33019 |
| Name | Role | Address |
|---|---|---|
| KHAWAM FRANJIE JOSE A | Vice President | 1530 WEEPING WILLOW WAY, HOLLYWOOD, FL, 33019 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-09-27 | 7951 Riviera Blvd, Ste 102, Miramar, FL 33023 | No data |
| CHANGE OF MAILING ADDRESS | 2023-09-27 | 7951 Riviera Blvd, Ste 102, Miramar, FL 33023 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-05 |
| Domestic Profit | 2023-05-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
