| Entity Name: | APEX DENTISTRY,FP,LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Jul 2017 (8 years ago) |
| Document Number: | L17000161359 |
| FEI/EIN Number | 82-2326625 |
| Address: | 2301 SUNRISE BLVD, C, FORT PIERCE, FL 34982 |
| Mail Address: | 4426 sw long bay dr, Palm city, FL 34990 |
| ZIP code: | 34982 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790294304 | 2017-09-26 | 2022-07-21 | 2301 SUNRISE BLVD STE C, FORT PIERCE, FL, 349823500, US | 2301 SUNRISE BLVD STE C, FORT PIERCE, FL, 349823500, US | |||||||||||||||||||||||
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| Phone | +1 561-313-7142 |
Authorized person
| Name | DR. MOJGAN SALEHI |
| Role | MANAGER |
| Phone | 5613137142 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | DN16437 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1285860056 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| APEX DENTISTRY PROFIT SHARING PLAN | 2023 | 822326625 | 2024-05-01 | APEX DENTISTRY,FP,LLC | 4 | |||||||||||||
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| APEX DENTISTRY PROFIT SHARING PLAN | 2022 | 822326625 | 2023-09-18 | APEX DENTISTRY,FP,LLC | 2 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| SALEHI, MOJGAN | Agent | 4426 sw long bay dr, Palm city, FL 34990 |
| Name | Role | Address |
|---|---|---|
| SALEHI, MOJGAN | Manager | 4426 sw long bay dr., Plan city, FL 34990 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-04-08 | 2301 SUNRISE BLVD, C, FORT PIERCE, FL 34982 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-04-08 | 4426 sw long bay dr, Palm city, FL 34990 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-08 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-03-24 |
| ANNUAL REPORT | 2020-04-08 |
| ANNUAL REPORT | 2019-01-12 |
| ANNUAL REPORT | 2018-06-28 |
| Florida Limited Liability | 2017-07-28 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
