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LESLIE HALLER, DMD, LLC

Company Details

Entity Name: LESLIE HALLER, DMD, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 07 Aug 2017 (8 years ago)
Document Number: L17000167557
FEI/EIN Number 82-2420193
Address: 1155 BRICKELL BAY DR., APT 1604, MIAMI, FL 33131 UN
Mail Address: 1155 BRICKELL BAY DR., APT 1604, MIAMI, FL 33131 UN
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093325839 2020-08-06 2020-08-06 348 ALHAMBRA CIR, CORAL GABLES, FL, 331345004, US 348 ALHAMBRA CIR, CORAL GABLES, FL, 331345004, US

Contacts

Phone +1 305-447-9199

Authorized person

Name LESLIE HALLER
Role OWNER
Phone 3054479199

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes
Taxonomy Code 332BC3200X - Customized Equipment (DME)
Is Primary No

Agent

Name Role Address
HALLER, LESLIE Agent 1155 BRICKELL BAY DR., APT 1604, MIAMI, FL 33131

Manager

Name Role Address
HALLER, LESLIE Manager 1155 BRICKELL BAY DR., MIAMI, FL 33131 UN

Authorized Person

Name Role Address
NAGLE, THOMAS Authorized Person 1155 BRICKELL BAY DR., MIAMI, FL 33131 UN

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000128565 DENTAL SOLUTIONS OF SOUTH FLORIDA ACTIVE 2018-12-05 2028-12-31 No data 348 ALHANBRA CIRCLE, CORAL GABLES, FL, 33134

Documents

Name Date
ANNUAL REPORT 2025-01-05
ANNUAL REPORT 2024-01-17
ANNUAL REPORT 2023-03-11
ANNUAL REPORT 2022-03-02
ANNUAL REPORT 2021-01-23
ANNUAL REPORT 2020-03-16
ANNUAL REPORT 2019-03-09
ANNUAL REPORT 2018-06-29
Florida Limited Liability 2017-08-07

Date of last update: 18 Feb 2025

Sources: Florida Department of State