| Entity Name: | FOREST HILL FAMILY ORTHODONTICS PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Sep 2020 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 24 Aug 2022 (2 years ago) |
| Document Number: | L20000290125 |
| FEI/EIN Number | 85-3286224 |
| Address: | 3472 FORST HILL BLVD, STE ONE, WEST PALM BEACH, FL, 33406 |
| Mail Address: | 3472 FORST HILL BLVD, STE ONE, WEST PALM BEACH, FL, 33406 |
| ZIP code: | 33406 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841896792 | 2020-12-07 | 2020-12-07 | 3472 FOREST HILL BLVD STE 1, WEST PALM BEACH, FL, 334065864, US | 3472 FOREST HILL BLVD STE 1, WEST PALM BEACH, FL, 334065864, US | |||||||||||||||||||
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| Phone | +1 561-328-1555 |
Authorized person
| Name | MR. DAVID SHUTTS |
| Role | CEO |
| Phone | 9548039351 |
Taxonomy
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1194057620 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATE CREATIONS NETWORK INC. | Agent |
| Name | Role |
|---|---|
| DRINKER STREET CAPITAL LLC | Manager |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000091858 | VISTA ORTHODONTICS | ACTIVE | 2023-08-07 | 2028-12-31 | No data | 3472 FOREST HILL BLVD, UNIT 1, WEST PALM BEACH, FL, 33406 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2022-08-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-07 |
| AMENDED ANNUAL REPORT | 2024-07-10 |
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-02-07 |
| LC Amendment | 2022-08-24 |
| ANNUAL REPORT | 2022-02-07 |
| ANNUAL REPORT | 2021-04-10 |
| Florida Limited Liability | 2020-09-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
