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PEDIATRIC DENTAL CENTER OF HOMESTEAD II INC

Company Details

Entity Name: PEDIATRIC DENTAL CENTER OF HOMESTEAD II INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 05 Jul 2023 (2 years ago)
Document Number: P23000050357
FEI/EIN Number 93-2310691
Mail Address: 2645 S DOUGLAS ROAD, 703, MIAMI, FL, 33133
Address: 74 W Mowry Drive, Homestead, FL, 33030, US
ZIP code: 33030
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255194908 2024-02-05 2024-02-05 74 W MOWRY DR, HOMESTEAD, FL, 330305902, US 74 W MOWRY DR, HOMESTEAD, FL, 330305902, US

Contacts

Phone +1 305-246-3800

Authorized person

Name DR. ENRIQUE ACOSTA
Role PRESIDENT
Phone 3052463800

Taxonomy

Taxonomy Code 1223P0221X - Pediatric Dentist
Is Primary Yes

Agent

Name Role Address
Acosta Enrique Agent 74 W Mowry Drive, Homestead, FL, 33030

President

Name Role Address
ACOSTA ENRIQUE President 2645 S DOUGLAS ROAD STE 703, MIAMI, FL, 33133

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-12-17 74 W Mowry Drive, Homestead, FL 33030 No data
REGISTERED AGENT NAME CHANGED 2024-12-17 Acosta, Enrique No data
REGISTERED AGENT ADDRESS CHANGED 2024-12-17 74 W Mowry Drive, Homestead, FL 33030 No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-12-17
ANNUAL REPORT 2024-03-13
Domestic Profit 2023-07-05

Date of last update: 02 Feb 2025

Sources: Florida Department of State