| Entity Name: | IMAGINE SMILES, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 Jun 2020 (5 years ago) |
| Document Number: | L20000169896 |
| FEI/EIN Number | 85-2886187 |
| Address: | 13205 REAMS ROAD, SUITE 164, WINDERMERE, FL 34786 |
| Mail Address: | 13205 REAMS ROAD, SUITE 164, WINDERMERE, FL 34786 |
| ZIP code: | 34786 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013598739 | 2021-04-15 | 2021-04-15 | 5259 ARIVA DR APT 101, LAKELAND, FL, 338124436, US | 13205 REAMS RD UNIT 164, WINDERMERE, FL, 34786, US | |||||||||||||||||
|
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| Phone | +1 864-906-6179 |
Authorized person
| Name | THAO LATHAM |
| Role | OWNER |
| Phone | 8649066179 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| Is Primary | Yes |
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Latham, Thao Trang Ngoc | Agent | 14246 Oasis Cove Blvd, Windermere, FL 34786 |
| Name | Role | Address |
|---|---|---|
| LATHAM, JASON, DMD | Manager | 14246 OASIS COVE BLVD, WINDERMERE, FL 34786 |
| LATHAM, THAO, DMD | Manager | 14246 OASIS COVE BLVD, WINDERMERE, FL 34786 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000047300 | PARKVIEW KIDS DENTAL & ORTHODONTICS | ACTIVE | 2021-04-07 | 2026-12-31 | No data | 13205 REAMS RD,UNIT 164, WINDERMERE, FL, 34786 |
| G20000074718 | PARKVIEW PEDIATRIC DENTISTRY & ORTHODONTICS | ACTIVE | 2020-07-01 | 2025-12-31 | No data | 5259 ARIVA DR APT 101, LAKELAND, FL, 33812 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-11 | 14246 Oasis Cove Blvd, Windermere, FL 34786 | No data |
| CHANGE OF MAILING ADDRESS | 2021-08-02 | 13205 REAMS ROAD, SUITE 164, WINDERMERE, FL 34786 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-04-29 | Latham, Thao Trang Ngoc | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-01-11 |
| ANNUAL REPORT | 2021-04-29 |
| Florida Limited Liability | 2020-06-18 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
