| Entity Name: | MICHAEL BRODY DDS PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 01 Mar 1999 (26 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 10 Nov 2004 (20 years ago) |
| Document Number: | P99000019000 |
| FEI/EIN Number | 65-0900867 |
| Address: | 20762 WEST DIXIE HIGHWAY, AVENTURA, FL 33180 |
| Mail Address: | 20762 WEST DIXIE HIGHWAY, AVENTURA, FL 33180 |
| ZIP code: | 33180 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396812921 | 2006-11-29 | 2020-08-22 | 20762 W DIXIE HWY, MIAMI, FL, 331801146, US | 20762 W DIXIE HWY, MIAMI, FL, 331801146, US | |||||||||||||||||
|
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| Phone | +1 305-682-0045 |
Authorized person
| Name | MICHAEL BRODY |
| Role | PRESIDENT |
| Phone | 3056820045 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| License Number | DN0013389 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BRODY, MICHAEL DP | Agent | 20762 WEST DIXIE HIGHWAY, AVENTURA, FL 33180 |
| Name | Role | Address |
|---|---|---|
| BRODY, MICHAEL | Director | 20762 WEST DIXIE HIGHWAY, AVENTURA, FL 33180 |
| BRODY, GARI BETH | Director | 20762 WEST DIXIE HIGHWAY, AVENTURA, FL 33180 |
| Name | Role | Address |
|---|---|---|
| BRODY, MICHAEL | President | 20762 WEST DIXIE HIGHWAY, AVENTURA, FL 33180 |
| Name | Role | Address |
|---|---|---|
| BRODY, GARI BETH | Secretary | 20762 WEST DIXIE HIGHWAY, AVENTURA, FL 33180 |
| Name | Role | Address |
|---|---|---|
| BRODY, GARI BETH | Treasurer | 20762 WEST DIXIE HIGHWAY, AVENTURA, FL 33180 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CANCEL ADM DISS/REV | 2004-11-10 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-11-10 | 20762 WEST DIXIE HIGHWAY, AVENTURA, FL 33180 | No data |
| CHANGE OF MAILING ADDRESS | 2004-11-10 | 20762 WEST DIXIE HIGHWAY, AVENTURA, FL 33180 | No data |
| REGISTERED AGENT NAME CHANGED | 2004-11-10 | BRODY, MICHAEL DP | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-11-10 | 20762 WEST DIXIE HIGHWAY, AVENTURA, FL 33180 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-16 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-03-23 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-04-21 |
| ANNUAL REPORT | 2015-04-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
