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FAMILY ORTHODONTICS OF FLORIDA, PLLC - Florida Company Profile

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Company Details

Entity Name: FAMILY ORTHODONTICS OF FLORIDA, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 07 May 2018 (7 years ago)
Document Number: L18000113848
FEI/EIN Number 61-1892008
Address: 2970 Brandywine Road, Suite 200, Atlanta, GA, 30341, US
Mail Address: 2970 Brandywine Road, Suite 200, Atlanta, GA, 30341, US
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Martin Robert S Member 2970 Brandywine Road, Atlanta, GA, 30341
- Agent -

National Provider Identifier

NPI Number:
1487149290

Authorized Person:

Name:
TAMONIA LEONARD
Role:
CREDENTIALING SPECIALIST
Phone:

Taxonomy:

Selected Taxonomy:
1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-17 2970 Brandywine Road, Suite 200, Atlanta, GA 30341 -
CHANGE OF MAILING ADDRESS 2024-04-17 2970 Brandywine Road, Suite 200, Atlanta, GA 30341 -

Documents

Name Date
ANNUAL REPORT 2024-04-17
ANNUAL REPORT 2023-03-09
ANNUAL REPORT 2022-03-28
ANNUAL REPORT 2021-05-01
ANNUAL REPORT 2020-05-11
ANNUAL REPORT 2019-03-20
Florida Limited Liability 2018-05-07

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Date of last update: 03 Aug 2025

Sources: Florida Department of State