| Entity Name: | INFINITY DENTAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Dec 2015 (9 years ago) |
| Document Number: | L15000209747 |
| FEI/EIN Number | 36-4824685 |
| Address: | 1450 rock springs rd, apopka, FL, 32712, US |
| Mail Address: | 1450 rock springs rd, apopka, FL, 32712, US |
| ZIP code: | 32712 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316391170 | 2016-04-19 | 2016-04-19 | 1450 N. ROCK SPRINGS RD, APOPKA, FL, 32712, US | 1450 N. ROCK SPRINGS RD, APOPKA, FL, 32712, US | |||||||||||||||||||||||
|
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| Phone | +1 407-814-4940 |
Authorized person
| Name | SUSHIL PATEL |
| Role | ASSOCIATE DOCTOR |
| Phone | 4078144940 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN18420 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001037900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Patel Sushil | Agent | 1450 rock springs rd, apopka, FL, 32712 |
| Name | Role | Address |
|---|---|---|
| Patel Sushil | Manager | 1450 N Rock Springs Road, Apopka, FL, 32712 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2019-03-06 | Patel, Sushil | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-06 | 1450 rock springs rd, apopka, FL 32712 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-01-27 | 1450 rock springs rd, apopka, FL 32712 | No data |
| CHANGE OF MAILING ADDRESS | 2019-01-27 | 1450 rock springs rd, apopka, FL 32712 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-14 |
| ANNUAL REPORT | 2023-04-02 |
| ANNUAL REPORT | 2022-04-10 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-01-12 |
| AMENDED ANNUAL REPORT | 2019-03-06 |
| ANNUAL REPORT | 2019-01-27 |
| ANNUAL REPORT | 2018-03-11 |
| ANNUAL REPORT | 2017-01-15 |
| ANNUAL REPORT | 2016-04-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
