| Entity Name: | FLORIDA DENTAL SLEEP DISORDERS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 17 Apr 2024 (10 months ago) |
| Last Event: | AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 08 May 2024 (9 months ago) |
| Document Number: | P24000027548 |
| FEI/EIN Number | 99-3741938 |
| Address: | 2900 N MILITARY TRAIL, SOUTH BUILDING, SUITE 212, BOCA RATON, FL 33431 |
| Mail Address: | 21861 CYPRESS PALM COURT, BOCA RATON, FL 33428 |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619707577 | 2024-08-06 | 2024-08-07 | 21861 CYPRESS PALM CT, BOCA RATON, FL, 334282938, US | 7100 CAMINO REAL STE 110, BOCA RATON, FL, 334335510, US | |||||||||||||
|
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| Phone | +1 561-400-7816 |
Authorized person
| Name | YITTA GARDEN |
| Role | OWNER |
| Phone | 5614007816 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GARDEN, YITTA L | Agent | 21861 CYPRESS PALM CT, BOCA RATON, FL 33428 |
| Name | Role | Address |
|---|---|---|
| GARDEN, YITTA | President | 21861 CYPRESS PALM CT, BOCA RATON, FL 33428 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT AND NAME CHANGE | 2024-05-08 | FLORIDA DENTAL SLEEP DISORDERS, P.A. | No data |
| Name | Date |
|---|---|
| Amendment and Name Change | 2024-05-08 |
| Domestic Profit | 2024-04-17 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
