| Entity Name: | SIMPLY SMILES ORTHODONTICS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 May 2015 (10 years ago) |
| Document Number: | L15000090440 |
| FEI/EIN Number | 47-4097551 |
| Address: | 8648 Antarus Dr, Lake Worth, FL, 33467, US |
| Mail Address: | 8648 Antarus Dr, Lake Worth, FL, 33467, US |
| ZIP code: | 33467 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376902502 | 2016-02-16 | 2016-02-16 | 7633 N STATE ROAD 7, PARKLAND, FL, 330733524, US | 7633 N STATE ROAD 7, PARKLAND, FL, 330733524, US | |||||||||||||||||||||||||
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| Phone | +1 561-350-7264 |
| Fax | 8668920774 |
Authorized person
| Name | TANIA SAINT AMAND |
| Role | OWNER |
| Phone | 5613507264 |
Taxonomy
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| License Number | DN17277 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI TYPE 1 |
| Number | 1255595765 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SAINT AMAND TANIA | Agent | 8648 Antarus Dr, Lake Worth, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| SAINT AMAND TANIA | Owner | 8648 Antarus Dr, Lake Worth, FL, 33467 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000124145 | PARKLAND ORTHODONTICS | EXPIRED | 2015-12-09 | 2020-12-31 | No data | 16533 BUONASERA CT, NAPLES, FL, 34110 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-19 | 8648 Antarus Dr, Lake Worth, FL 33467 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-19 | 8648 Antarus Dr, Lake Worth, FL 33467 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-06 | 8648 Antarus Dr, Lake Worth, FL 33467 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-19 |
| ANNUAL REPORT | 2023-02-06 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-02-06 |
| ANNUAL REPORT | 2020-02-09 |
| ANNUAL REPORT | 2019-02-10 |
| ANNUAL REPORT | 2018-01-21 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-01-31 |
| Florida Limited Liability | 2015-05-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
