| Entity Name: | DENTAL TEAM OF PLANTATION, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Mar 2019 (6 years ago) |
| Document Number: | L19000080842 |
| FEI/EIN Number | 84-2098127 |
| Address: | 10167 W Sunrise Blvd, #101, Plantation, FL, 33322, US |
| Mail Address: | 2826 E. Oakland Park Blvd, #300, Fort Lauderdale, FL, 33306, US |
| ZIP code: | 33322 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205402187 | 2021-06-01 | 2021-06-01 | 2826 E OAKLAND PARK BLVD, FORT LAUDERDALE, FL, 333061800, US | 10167 W SUNRISE BLVD STE 101, PLANTATION, FL, 333227619, US | |||||||||||||
|
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| Phone | +1 954-791-0330 |
Authorized person
| Name | ROBERT RODRIGUEZ |
| Role | CEO |
| Phone | 9547764720 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| 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 |
| Name | Role | Address |
|---|---|---|
| OneBridge TDG MSO US LP | Authorized Member | 2826 E Oakland Park Blvd, Fort Lauderdale, FL, 33306 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-09-10 | 10167 W Sunrise Blvd, #101, Plantation, FL 33322 | 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, 300, Fort Lauderdale, FL 33306 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-05-01 | 10167 W Sunrise Blvd, #101, Plantation, FL 33322 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-09-10 |
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-03-31 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-05-15 |
| Florida Limited Liability | 2019-03-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
