| Entity Name: | ORTHODONTIC PROFESSIONAL SERVICES L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Jan 2016 (9 years ago) |
| Document Number: | L16000007566 |
| FEI/EIN Number | 81-1047358 |
| Address: | 1813 SE Port St. Lucie Blvd, PORT ST. LUCIE, FL 34952 |
| Mail Address: | 1813 SE Port St. Lucie Blvd, PORT ST. LUCIE, FL 34952 |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669977203 | 2018-03-26 | 2018-03-26 | 1813 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL, 349525544, US | 1813 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL, 349525544, US | |||||||||||||||||
|
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| Phone | +1 772-528-3434 |
Authorized person
| Name | DR. MARCELA MATAMOROS |
| Role | PRESIDENT |
| Phone | 7725283434 |
Taxonomy
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| License Number | DN20300 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RADOJEVIC, MARCELA MATAMOROS | Agent | 1813 SE Port St. Lucie Blvd, PORT ST. LUCIE, FL 34952 |
| Name | Role | Address |
|---|---|---|
| RADOJEVIC, MARCELA MATAMOROS, Dr. | DMD | 1813 SE Port St. Lucie Blvd, PORT ST. LUCIE, FL 34952 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000053455 | ION ORTHODONTICS | ACTIVE | 2018-04-30 | 2028-12-31 | No data | 1813 SE PORT ST.LUCIE BLVD, PORT ST. LUCIE, FL, 34952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-01 | 1813 SE Port St. Lucie Blvd, PORT ST. LUCIE, FL 34952 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-01 | 1813 SE Port St. Lucie Blvd, PORT ST. LUCIE, FL 34952 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-01 | RADOJEVIC, MARCELA MATAMOROS | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-01 | 1813 SE Port St. Lucie Blvd, PORT ST. LUCIE, FL 34952 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-30 |
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-01-19 |
| ANNUAL REPORT | 2021-02-11 |
| ANNUAL REPORT | 2020-02-16 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-02-20 |
| ANNUAL REPORT | 2017-02-19 |
| Florida Limited Liability | 2016-01-11 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State
