| Entity Name: | LAKE WORTH ORTHODONTICS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 Sep 2016 (8 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 10 Jul 2020 (5 years ago) |
| Document Number: | L16000173662 |
| FEI/EIN Number | 81-4002180 |
| Mail Address: | PO Box 26292, Prescott Valley, AZ 86312 |
| Address: | 4 country rd west, C/O Robert V Stunkel, boynton beach, FL 33436 |
| ZIP code: | 33436 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932658978 | 2016-10-03 | 2016-10-03 | 6045 HAGEN RANCH RD, SUITE 2, LAKE WORTH, FL, 334677251, US | 6045 HAGEN RANCH RD, SUITE 2, LAKE WORTH, FL, 334677251, US | |||||||||||||||||
|
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| Phone | +1 561-408-2972 |
Authorized person
| Name | MARC L ANDERSON |
| Role | OWNER |
| Phone | 5614082972 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | DN16898 |
| State | CA |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ANDERSON, MARC | Agent | 4 country rd west, C/O Robert V Stunkel, boynton beach, FL 33436 |
| Name | Role | Address |
|---|---|---|
| ANDERSON, MARC | Manager | 9940 Belvedere Rd A-1, C/O Dr. Marc Anderson Royal Palm Beach, FL 33411 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-09 | 4 country rd west, C/O Robert V Stunkel, boynton beach, FL 33436 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-09 | 4 country rd west, C/O Robert V Stunkel, boynton beach, FL 33436 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-09 | 4 country rd west, C/O Robert V Stunkel, boynton beach, FL 33436 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-07-10 | ANDERSON, MARC | No data |
| LC STMNT OF RA/RO CHG | 2020-07-10 | No data | No data |
| LC AMENDMENT | 2019-07-31 | No data | No data |
| LC STMNT CORR/NC | 2016-09-26 | LAKE WORTH ORTHODONTICS, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-12 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-04-23 |
| CORLCRACHG | 2020-07-10 |
| ANNUAL REPORT | 2020-02-06 |
| LC Amendment | 2019-07-31 |
| ANNUAL REPORT | 2019-03-19 |
| ANNUAL REPORT | 2018-03-26 |
| ANNUAL REPORT | 2017-03-28 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
