| Entity Name: | DENTAL TEAM OF ATLANTIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Mar 2019 (6 years ago) |
| Document Number: | L19000080835 |
| FEI/EIN Number | 84-2105843 |
| Mail Address: | 2826 E. Oakland Park Blvd, #300, Ft. Lauderdale, FL, 33306, US |
| Address: | 1600 E Atlantic Blvd, Pompano Beach, FL, 33060, US |
| ZIP code: | 33060 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609442664 | 2021-06-01 | 2021-06-01 | 2826 E OAKLAND PARK BLVD, FORT LAUDERDALE, FL, 333061800, US | 1600 E ATLANTIC BLVD FL 2, POMPANO BEACH, FL, 330606768, US | |||||||||||||||||
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| Phone | +1 954-782-1992 |
Authorized person
| Name | ROBERT RODRIGUEZ |
| Role | CEO |
| Phone | 9547764720 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GELFAND EDWARD Dr. | Agent | 2826 E Oakland Park Blvd, Fort Lauderdale, FL, 33306 |
| Name | Role | Address |
|---|---|---|
| GELFAND EDWARD Dr. | Manager | 2826 E Oakland Park Blvd, Fort Lauderdale, FL, 33306 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-10 | 1600 E Atlantic Blvd, Pompano Beach, FL 33060 | No data |
| CHANGE OF MAILING ADDRESS | 2024-09-10 | 1600 E Atlantic Blvd, Pompano Beach, FL 33060 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-09-10 | GELFAND, EDWARD, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-09-10 | 2826 E Oakland Park Blvd, Ste 300, Fort Lauderdale, FL 33306 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-09-10 |
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-03-23 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-05-15 |
| Florida Limited Liability | 2019-03-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
