| Entity Name: | IGLESIAS DENTISTRY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Sep 2020 (4 years ago) |
| Document Number: | L20000272781 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 1963 nw 136th ave, sunrise, FL, 33323, US |
| Mail Address: | 1963 nw 136th ave, sunrise, FL, 33323, US |
| ZIP code: | 33323 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386499531 | 2024-04-22 | 2024-04-22 | 1963 NW 136TH AVE APT 643, SUNRISE, FL, 333235362, US | 8890 ROYAL PALM BLVD, CORAL SPRINGS, FL, 330655803, US | |||||||||||||||||
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| Phone | +1 202-674-9121 |
| Phone | +1 954-341-0500 |
| Fax | 9547750547 |
Authorized person
| Name | DR. HAISSEL BERIOSCA IGLESIAS |
| Role | DENTIST |
| Phone | 2026749121 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Iglesias Daniyel Dr. | Agent | 1963 nw 136th ave, sunrise, FL, 33323 |
| Name | Role | Address |
|---|---|---|
| IGLESIAS DANIYEL | Manager | 1963 NW 136TH AVE APT 643, FORT LAUDERDALE, FL, 33323 |
| IGLESIAS HAISSEL DR | Manager | 1963 NW 136TH AVE APT 643, FORT LAUDERDALE, FL, 33323 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000056469 | KULICK DENTAL GROUP | ACTIVE | 2024-04-29 | 2029-12-31 | No data | 1963 NW 136TH AVE, APT 643, SUNRISE, FL, 33323 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-03-11 | Iglesias, Daniyel, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-11 | 1963 nw 136th ave, #643, sunrise, FL 33323 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-12-07 | 1963 nw 136th ave, #643, sunrise, FL 33323 | No data |
| CHANGE OF MAILING ADDRESS | 2021-12-07 | 1963 nw 136th ave, #643, sunrise, FL 33323 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| ANNUAL REPORT | 2023-03-21 |
| ANNUAL REPORT | 2022-03-13 |
| AMENDED ANNUAL REPORT | 2021-12-21 |
| ANNUAL REPORT | 2021-03-15 |
| Florida Limited Liability | 2020-09-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
