| Entity Name: | FLORIDENTAL CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Jul 2017 (8 years ago) |
| Document Number: | L17000146816 |
| FEI/EIN Number | 82-2234906 |
| Address: | 9240 SW 72ND ST, SUITE 115, miami, FL, 33173, US |
| Mail Address: | 9240 SW 72ND ST, SUITE 115, miami, FL, 33173, US |
| ZIP code: | 33173 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275181315 | 2019-09-02 | 2019-09-02 | 9240 SW 72ND ST STE 115, MIAMI, FL, 331733262, US | 9240 SW 72ND ST STE 115, MIAMI, FL, 331733262, US | |||||||||||||||
|
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| Phone | +1 305-595-0557 |
| Fax | 3055953667 |
Authorized person
| Name | DR. LISSET GATA GARCIA |
| Role | DENTIST/ |
| Phone | 3055950557 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GATA GARCIA LISSET | Agent | 5510 SW 92nd ave, miami, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| GARCIA LISSET G | Manager | 9240 SW 72ND ST, SUITE 115, miami, FL, 33173 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-03 | 9240 SW 72ND ST, SUITE 115, miami, FL 33173 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-03 | 9240 SW 72ND ST, SUITE 115, miami, FL 33173 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-01-02 | 5510 SW 92nd ave, miami, FL 33165 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-16 |
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-01-02 |
| ANNUAL REPORT | 2018-01-07 |
| Florida Limited Liability | 2017-07-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
