| Entity Name: | MRA ORTHODONTICS PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 17 Oct 2023 (a year ago) |
| Document Number: | P23000074050 |
| FEI/EIN Number | 93-3958952 |
| Address: | 12180 SOUTH SHORE BLVD, STE 101, WELLINGTON, FL 33414 |
| Mail Address: | 12180 SOUTH SHORE BLVD, STE 101, WELLINGTON, FL 33414 |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770352346 | 2023-12-25 | 2023-12-25 | 12180 S SHORE BLVD STE 101, WELLINGTON, FL, 334146505, US | 12180 S SHORE BLVD STE 101, WELLINGTON, FL, 334146505, US | |||||||||||||
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| Phone | +1 561-793-9888 |
Authorized person
| Name | MICHAEL WIERNICKI |
| Role | ORTHODONTIST |
| Phone | 5612894374 |
Taxonomy
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MICHAEL, WIERNICKI | Agent | MICHAEL WIERNICKI, 23481 MIRABELLA CIRC SOUTH, BOCA RATON, FL 33433 |
| Name | Role | Address |
|---|---|---|
| WIERNICKI, MICHAEL | President | 23481 MIRABELLA CIRC SOUTH, BOCA RATON, FL 33433 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000010727 | ORTHOMIKE ORTHODONTICS | ACTIVE | 2024-01-18 | 2029-12-31 | No data | 1000 S OCEAN BLVD APT 12L, POMPANO BEACH, FL, 33062 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-14 | 12180 SOUTH SHORE BLVD, STE 101, WELLINGTON, FL 33414 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-14 | 12180 SOUTH SHORE BLVD, STE 101, WELLINGTON, FL 33414 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-14 | MICHAEL WIERNICKI, 23481 MIRABELLA CIRC SOUTH, BOCA RATON, FL 33433 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-14 |
| Domestic Profit | 2023-10-17 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
