| Entity Name: | HEALTHY SMILES DENTAL OF PALM COAST, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Aug 2010 (15 years ago) |
| Document Number: | L10000081159 |
| FEI/EIN Number | 274064663 |
| Address: | 1264 PALM COAST PKWY SW, PALM COAST, FL, 32137, US |
| Mail Address: | 1264 PALM COAST PKWY SW, PALM COAST, FL, 32137, US |
| ZIP code: | 32137 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | HEALTHY SMILES DENTAL OF PALM COAST, LLC, MISSISSIPPI | 1373990 | MISSISSIPPI |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386034635 | 2015-01-26 | 2015-01-26 | 1264 PALM COAST PARKWAY SW, PALM COAST, FL, 32137, US | 1264 PALM COAST PKWY SW, PALM COAST, FL, 321374700, US | |||||||||||||||||||
|
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| Phone | +1 386-283-4902 |
| Fax | 3862834961 |
Authorized person
| Name | MRS. LUCIANA BENCHIMOL |
| Role | OFFICE MANAGER |
| Phone | 3862834902 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN18114 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BENCHIMOL JACQUES | Agent | 8495 Twin Lakes Dr, Boca Raton, FL, 33496 |
| Name | Role | Address |
|---|---|---|
| BENCHIMOL JACQUES DDS | Manager | 8495 Twin Lakes Dr, Boca Raton, FL, 33496 |
| Name | Role | Address |
|---|---|---|
| Affordable Business Services LLC | Auth | 2030 W Baseline Rd Ste 182-240, Phoenix, AZ, 85041 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000077815 | ORMOND FAMILY DENTAL | EXPIRED | 2014-07-28 | 2019-12-31 | No data | 1200 W GRANADA BLVD, ORMOND BEACH, FL, 32174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-06 | 1264 PALM COAST PKWY SW, PALM COAST, FL 32137 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-06 | 1264 PALM COAST PKWY SW, PALM COAST, FL 32137 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-12 | 8495 Twin Lakes Dr, Boca Raton, FL 33496 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-01-12 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-05-27 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-06-13 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-26 |
| ANNUAL REPORT | 2015-04-26 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
