| Entity Name: | SAMAR DENTAL GROUP, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 02 Jun 2023 (2 years ago) |
| Document Number: | P23000042676 |
| FEI/EIN Number | N/A |
| Address: | 3500 n.w. 114th avenue, SUITE 212, doral, FL 33178 |
| Mail Address: | 3500 n.w. 114th avenue, SUITE 212, doral, FL 33178 |
| ZIP code: | 33178 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780093781 | 2014-08-05 | 2014-08-05 | 8500 SW 109TH AVE APT 212, MIAMI, FL, 331734458, US | 8601 NW 58TH ST UNIT 102, DORAL, FL, 331663312, US | |||||||||||||||||
|
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| Phone | +1 786-261-1163 |
Authorized person
| Name | DR. LUIS C COLLAZOS |
| Role | DENTIST |
| Phone | 7862611163 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | 20855 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RAFAEL OCTAVIO MORALES | Agent | 3500 n.w. 114th avenue, SUITE 212, doral, FL 33178 |
| Name | Role | Address |
|---|---|---|
| RAFAEL OCTAVIO MORALES | President | 7141 N.W. 111TH AVENUE, DORAL, FL 33178 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-30 | 3500 n.w. 114th avenue, SUITE 212, doral, FL 33178 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-30 | 3500 n.w. 114th avenue, SUITE 212, doral, FL 33178 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-30 | 3500 n.w. 114th avenue, SUITE 212, doral, FL 33178 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| Domestic Profit | 2023-06-02 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
