| Entity Name: | SMILE NATION, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 May 2015 (10 years ago) |
| Document Number: | L15000091204 |
| FEI/EIN Number | 47-4519375 |
| Address: | 515 Corner Drive, Brandon, FL 33511 |
| Mail Address: | 515 Corner Drive, Brandon, FL 33511 |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437526308 | 2015-08-27 | 2015-08-27 | 6060 53RD AVE E, SUITE A, BRADENTON, FL, 342039719, US | 6060 53RD AVE E, SUITE A, BRADENTON, FL, 342039719, US | |||||||||||||||||||
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| Phone | +1 941-727-0025 |
| Fax | 9417392315 |
Authorized person
| Name | DEREK M BUSCIGLIO |
| Role | PRESIDENT |
| Phone | 8134658289 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| License Number | DN14677 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| LAMBERT LAW OFFICES, PL | Agent |
| Name | Role | Address |
|---|---|---|
| BUSCIGLIO, DEREK M | Manager | 515 Corner Drive, Brandon, FL 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-25 | 515 Corner Drive, Brandon, FL 33511 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-25 | 515 Corner Drive, Brandon, FL 33511 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-27 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-02-14 |
| ANNUAL REPORT | 2021-02-09 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-02-21 |
| ANNUAL REPORT | 2018-02-06 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-04-14 |
| Florida Limited Liability | 2015-05-22 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
