| Entity Name: | DENTAL BRACES GURU PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Oct 2010 (14 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 04 Dec 2012 (12 years ago) |
| Document Number: | L10000109684 |
| FEI/EIN Number | 274007055 |
| Address: | 11330 Wiles Road, Coral Springs, FL, 33076, US |
| Mail Address: | 11330 Wiles Road, Coral Springs, FL, 33076, US |
| ZIP code: | 33076 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790148294 | 2016-04-01 | 2019-02-08 | 11332 WILES RD, CORAL SPRINGS, FL, 330762114, US | 11330 WILES RD, CORAL SPRINGS, FL, 330762113, US | |||||||||||||||||||
|
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| Phone | +1 954-418-2354 |
| Fax | 9543691440 |
Authorized person
| Name | DR. PRATHIMA KRISHNA ADUSUMILLI |
| Role | OWNER |
| Phone | 5612123119 |
Taxonomy
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| License Number | DN 18968 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ADUSUMILLI PRATHIMA | Agent | 11330 Wiles Road, Coral Springs, FL, 33076 |
| Name | Role | Address |
|---|---|---|
| Adusumilli Prathima K | President | 11330 Wiles Road, Coral Springs, FL, 33076 |
| Name | Role | Address |
|---|---|---|
| Adusumilli Krishna | Auth | 11330 Wiles Rd, Coral Springs, FL, 33076 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000028968 | CORAL ORTHODONTICS | EXPIRED | 2014-03-21 | 2024-12-31 | No data | 11330 WILES ROAD, CORAL SPRINGS, FL, 33076 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-30 | 11330 Wiles Road, Coral Springs, FL 33076 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-30 | 11330 Wiles Road, Coral Springs, FL 33076 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-30 | 11330 Wiles Road, Coral Springs, FL 33076 | No data |
| LC AMENDMENT | 2012-12-04 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-01-22 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-03-01 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-03-25 |
| ANNUAL REPORT | 2017-01-19 |
| ANNUAL REPORT | 2016-03-13 |
| ANNUAL REPORT | 2015-03-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
