| Entity Name: | BROOKSIDE DENTAL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 20 May 1996 (29 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 19 Mar 1999 (26 years ago) |
| Document Number: | P96000042754 |
| FEI/EIN Number | 65-0681860 |
| Address: | 10689 WILES ROAD, CORAL SPRINGS, FL 33076 |
| Mail Address: | 10689 WILES ROAD, CORAL SPRINGS, FL 33076 |
| ZIP code: | 33076 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518225432 | 2012-04-28 | 2012-04-28 | 10689 WILES RD, CORAL SPRINGS, FL, 330762014, US | 10689 WILES RD, CORAL SPRINGS, FL, 330762014, US | |||||||||||||||||||
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| Phone | +1 954-345-3439 |
| Fax | 9543458862 |
Authorized person
| Name | DR. MARK ELI WEISSMAN |
| Role | PRESIDENT |
| Phone | 9543453439 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN07629 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| THIRER, MARTIN | Agent | 361 E. Hillsboro Blvd., Deerfield Beach, FL 33441 |
| Name | Role | Address |
|---|---|---|
| WEISSMAN, MARK | President | 10689 WILES ROAD, CORAL SPRINGS, FL 33076 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-16 | 361 E. Hillsboro Blvd., Deerfield Beach, FL 33441 | No data |
| REGISTERED AGENT NAME CHANGED | 2008-03-26 | THIRER, MARTIN | No data |
| NAME CHANGE AMENDMENT | 1999-03-19 | BROOKSIDE DENTAL, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-12 |
| ANNUAL REPORT | 2023-04-16 |
| ANNUAL REPORT | 2022-04-10 |
| ANNUAL REPORT | 2021-03-21 |
| ANNUAL REPORT | 2020-05-22 |
| ANNUAL REPORT | 2019-04-07 |
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-04-16 |
| ANNUAL REPORT | 2016-04-17 |
| ANNUAL REPORT | 2015-04-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
