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NORTH MIAMI DENTAL, INC.

Company Details

Entity Name: NORTH MIAMI DENTAL, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 09 Jun 1994 (31 years ago)
Last Event: AMENDMENT
Event Date Filed: 10 Oct 2017 (7 years ago)
Document Number: P94000044326
FEI/EIN Number 65-0497669
Address: 610 NE 124TH STREET, NORTH MIAMI, FL 33161
Mail Address: 610 NE 124TH STREET, NORTH MIAMI, FL 33161
ZIP code: 33161
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1306189386 2013-03-28 2013-03-28 610 NE 124TH ST, NORTH MIAMI, FL, 331615523, US 610 NE 124TH ST, NORTH MIAMI, FL, 331615523, US

Contacts

Phone +1 305-893-5433
Fax 3058934475

Authorized person

Name MS. DENISE ROBINSON
Role OFFICE MANAGER
Phone 3058935433

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number DN0014786
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 1588890321
State FL

Agent

Name Role Address
MARROCCO, MICHAEL Agent 610 NE 124TH STREET, NORTH MIAMI, FL 33161

President

Name Role Address
MARROCCO, MICHAEL President 610 NE 124TH STREET, NORTH MIAMI, FL 33161

Vice President

Name Role Address
MARROCCO, CHERILYN Vice President 610 NE 124TH STREET, NORTH MIAMI, FL 33161

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000072175 MICHAEL MARROCCO DMD EXPIRED 2019-06-28 2024-12-31 No data 610 N.E 124TH STREET, NORTH MIAMI, FL, 33161

Events

Event Type Filed Date Value Description
AMENDMENT 2017-10-10 No data No data
REGISTERED AGENT NAME CHANGED 2017-04-03 MARROCCO, MICHAEL No data
AMENDMENT 2017-04-03 No data No data
AMENDMENT 2014-05-12 No data No data
AMENDMENT 2009-07-09 No data No data
AMENDMENT 2008-08-25 No data No data
REGISTERED AGENT ADDRESS CHANGED 2008-08-25 610 NE 124TH STREET, NORTH MIAMI, FL 33161 No data
CHANGE OF PRINCIPAL ADDRESS 2002-04-30 610 NE 124TH STREET, NORTH MIAMI, FL 33161 No data
CHANGE OF MAILING ADDRESS 2002-04-30 610 NE 124TH STREET, NORTH MIAMI, FL 33161 No data

Documents

Name Date
ANNUAL REPORT 2024-01-15
ANNUAL REPORT 2023-03-07
ANNUAL REPORT 2022-03-21
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-03-20
ANNUAL REPORT 2019-02-01
ANNUAL REPORT 2018-02-28
Amendment 2017-10-10
Amendment 2017-04-03
ANNUAL REPORT 2017-03-19

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6930017306 2020-04-30 0455 PPP 610 NE 124 TH STREET, MIAMI, FL, 33161
Loan Status Date 2021-03-13
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 56547
Loan Approval Amount (current) 56547
Undisbursed Amount 0
Franchise Name -
Lender Location ID 119497
Servicing Lender Name FirstBank Puerto Rico
Servicing Lender Address 1519 Ave Ponce de Len, SANTURCE, PR, 00909-1732
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description New Business or 2 years or less
Project Address MIAMI, MIAMI-DADE, FL, 33161-2001
Project Congressional District FL-24
Number of Employees 6
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Partnership
Originating Lender ID 119497
Originating Lender Name FirstBank Puerto Rico
Originating Lender Address SANTURCE, PR
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 57010.37
Forgiveness Paid Date 2021-02-25
2429738500 2021-02-20 0455 PPS 610 NE 124th St, North Miami, FL, 33161-5523
Loan Status Date 2021-09-24
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 59767
Loan Approval Amount (current) 59767
Undisbursed Amount 0
Franchise Name -
Lender Location ID 119497
Servicing Lender Name FirstBank Puerto Rico
Servicing Lender Address 1519 Ave Ponce de Len, SANTURCE, PR, 00909-1732
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address North Miami, MIAMI-DADE, FL, 33161-5523
Project Congressional District FL-24
Number of Employees 6
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Partnership
Originating Lender ID 119497
Originating Lender Name FirstBank Puerto Rico
Originating Lender Address SANTURCE, PR
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 60077.46
Forgiveness Paid Date 2021-08-31

Date of last update: 02 Feb 2025

Sources: Florida Department of State