| Entity Name: | CAUSEY C. LEE, D.D.S., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 26 Nov 1990 (34 years ago) |
| Document Number: | S14288 |
| FEI/EIN Number | 65-0230955 |
| Address: | 4410 W 16th Ave, Suite 54, Hialeah, FL 33076 |
| Mail Address: | 6676 NW 110 Way, Parkland, FL 33076 |
| ZIP code: | 33076 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457578700 | 2007-04-19 | 2020-08-22 | 1790 W 49TH ST, SUITE 110, HIALEAH, FL, 330122992, US | 1790 W 49TH ST, SUITE 110, HIALEAH, FL, 330122992, US | |||||||||||||||||||
|
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| Phone | +1 305-558-3384 |
| Fax | 3058285726 |
Authorized person
| Name | DR. CAUSEY C. LEE JR. |
| Role | OWNER |
| Phone | 3055583384 |
Taxonomy
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| License Number | DN5224 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| REGISTERED AGENT SERVICES CO. | Agent |
| Name | Role | Address |
|---|---|---|
| Lee, Causey Clyde, Jr. | President | 6676 NW 110 Way, Parkland, FL 33076 |
| Name | Role | Address |
|---|---|---|
| Lee, Causey Clyde, Jr. | Director | 6676 NW 110 Way, Parkland, FL 33076 |
| Name | Role | Address |
|---|---|---|
| LEE, SHEILA S. | Secretary | 6676 NW 110 Way, Parkland, FL 33076 |
| Name | Role | Address |
|---|---|---|
| LEE, SHEILA S. | Treasurer | 6676 NW 110 Way, Parkland, FL 33076 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-02-24 | 4410 W 16th Ave, Suite 54, Hialeah, FL 33076 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-02-24 | REGISTERED AGENT SERVICES CO. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-24 | 7512 Dr. PHILLIPS BLVD, Suite 50-254, ORLANDO, FL 32819 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-28 | 4410 W 16th Ave, Suite 54, Hialeah, FL 33076 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-20 |
| ANNUAL REPORT | 2023-04-18 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-02-24 |
| ANNUAL REPORT | 2020-03-01 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-01-28 |
| ANNUAL REPORT | 2017-04-08 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-04-08 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
