| Entity Name: | DENTAL ARTS OF BROWARD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 22 Jun 2023 (2 years ago) |
| Document Number: | P23000047465 |
| FEI/EIN Number | 93-2082970 |
| Address: | 3207 N State Rd 7, 24, MARGATE, FL 33063 |
| Mail Address: | 3207 N State Rd 7, 24, MARGATE, FL 33063 |
| ZIP code: | 33063 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023893039 | 2023-08-28 | 2023-08-28 | 3207 N STATE ROAD 7, MARGATE, FL, 330637008, US | 3207 N STATE ROAD 7, MARGATE, FL, 330637008, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 954-979-1357 |
Authorized person
| Name | YURIXANDER GONZALEZ ALVAREZ |
| Role | DENTIST |
| Phone | 5126210732 |
Taxonomy
| Taxonomy Code | 1223E0200X - Endodontist |
| Is Primary | No |
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Taxonomy Code | 1223P0300X - Periodontist |
| Is Primary | No |
| Taxonomy Code | 1223P0700X - Prosthodontist |
| Is Primary | No |
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| Is Primary | No |
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| STESZEWSKI, JONATHAN, ESQ | Agent | 15100 NW 67 AVE STE 200, MIAMI LAKES, FL 33014 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ ALVAREZ, YURIXANDER | President | 1211 FISHERMAN STREET, OPA LOCKA, FL 33054 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-22 | 3207 N State Rd 7, 24, MARGATE, FL 33063 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-22 | 3207 N State Rd 7, 24, MARGATE, FL 33063 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-22 |
| Domestic Profit | 2023-06-22 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
