| Entity Name: | MIAMI SPRINGS DENTAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Apr 2019 (6 years ago) |
| Document Number: | L19000111227 |
| FEI/EIN Number | 83-4509658 |
| Address: | 657 SOUTH DR, UNIT 301, MIAMI SPRINGS, FL, 33166 |
| Mail Address: | 657 SOUTH DR, UNIT 301, MIAMI SPRINGS, FL, 33166 |
| ZIP code: | 33166 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811630874 | 2022-04-18 | 2022-04-18 | 657 SOUTH DR STE 301, MIAMI SPRINGS, FL, 331665926, US | 657 SOUTH DR STE 301, MIAMI SPRINGS, FL, 331665926, US | |||||||||||||||||||||||||||||||
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| Phone | +1 305-885-9721 |
| Fax | 3058859722 |
Authorized person
| Name | DR. HANSEL NAVARRETE |
| Role | OWNER/DENTIST |
| Phone | 7867180025 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Taxonomy Code | 1223E0200X - Endodontist |
| Is Primary | No |
| Taxonomy Code | 1223P0300X - Periodontist |
| Is Primary | No |
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| Is Primary | No |
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| LEGON VALDES ENRIQUE A | Agent | 15872 SW 146 TERR, MIAMI, FL, 33196 |
| Name | Role | Address |
|---|---|---|
| LEGON VALDES ENRIQUE A | Manager | 15872 SW 146 TERR, MIAMI, FL, 33196 |
| NAVARRETE HANSEL | Manager | 8150 NW 53 ST APT 111, DORAL, FL, 33166 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000078766 | SPRINGS DENTAL | EXPIRED | 2019-07-23 | 2024-12-31 | No data | 657 SOUTH DRIVE, SUITE 301, MIAMI SPRINGS, FL, 33166 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-03-22 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-03-25 |
| ANNUAL REPORT | 2020-06-05 |
| Florida Limited Liability | 2019-04-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
