| Entity Name: | VAZQUEZ GARCIA DMD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 19 Jun 2020 (5 years ago) |
| Document Number: | L20000170736 |
| FEI/EIN Number | 85-1620383 |
| Address: | 2900 N Military Trl, Ste 105, Boca Raton, FL 33431 |
| Mail Address: | 2900 N Military Trl, Ste 105, Boca Raton, FL 33431 |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1215611454 | 2023-06-08 | 2024-04-30 | 2900 N MILITARY TRL STE 105, BOCA RATON, FL, 334316347, US | 2900 N MILITARY TRL STE 105, BOCA RATON, FL, 334316347, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-999-0889 |
Authorized person
| Name | JOSEFINA VAZQUEZ GARCIA |
| Role | OWNER |
| Phone | 7868784614 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Taxonomy Code | 1223D0001X - Public Health Dentist |
| Is Primary | No |
| Taxonomy Code | 1223D0004X - Dentist Anesthesiologist |
| Is Primary | No |
| Taxonomy Code | 1223E0200X - Endodontist |
| Is Primary | No |
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | No |
| Taxonomy Code | 1223P0106X - Oral and Maxillofacial Pathology Dentist |
| Is Primary | No |
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| Is Primary | No |
| Taxonomy Code | 1223P0300X - Periodontist |
| Is Primary | No |
| Taxonomy Code | 1223P0700X - Prosthodontist |
| Is Primary | No |
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| Is Primary | No |
| Taxonomy Code | 1223X0008X - Oral and Maxillofacial Radiology Dentist |
| Is Primary | No |
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| Is Primary | No |
| Taxonomy Code | 1223X2210X - Orofacial Pain Dentist |
| Is Primary | No |
| Taxonomy Code | 124Q00000X - Dental Hygienist |
| Is Primary | No |
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| VAZQUEZ GARCIA, JOSEFINA | Agent | 1877 Meadow Ct, West Palm Beach, FL 33406 |
| Name | Role | Address |
|---|---|---|
| VAZQUEZ GARCIA, JOSEFINA | Owner | 1877 Meadow Ct, West Palm Beach, FL 33406 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000070577 | BOCA RATON COSMETIC DENTIST | ACTIVE | 2023-06-09 | 2028-12-31 | No data | 2900 N MILITARY TRL, STE 105, BOCA RATON, FL, 33431 |
| G23000070491 | BOCA RATON DENTIST | ACTIVE | 2023-06-08 | 2028-12-31 | No data | 2900 N MILITARY TRL, STE 105, BOCA RATON, FL, 33431 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-06-08 | 2900 N Military Trl, Ste 105, Boca Raton, FL 33431 | No data |
| CHANGE OF MAILING ADDRESS | 2023-06-08 | 2900 N Military Trl, Ste 105, Boca Raton, FL 33431 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-23 | 1877 Meadow Ct, West Palm Beach, FL 33406 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| AMENDED ANNUAL REPORT | 2023-06-08 |
| AMENDED ANNUAL REPORT | 2023-03-30 |
| ANNUAL REPORT | 2023-01-22 |
| ANNUAL REPORT | 2022-07-21 |
| ANNUAL REPORT | 2021-03-23 |
| Florida Limited Liability | 2020-06-19 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
