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VIBRANT ORTHODONTICS PLLC

Company Details

Entity Name: VIBRANT ORTHODONTICS PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Nov 2020 (4 years ago)
Document Number: L20000355916
FEI/EIN Number 85-3997479
Address: 1350 Thomaswood Dr, Tallahassee, FL, 32308, US
Mail Address: 1350 Thomaswood Dr, Tallahassee, FL, 32308, US
ZIP code: 32308
County: Leon
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144986316 2021-11-12 2021-11-12 1350 THOMASWOOD DR, TALLAHASSEE, FL, 323087914, US 1350 THOMASWOOD DR, TALLAHASSEE, FL, 323087914, US

Contacts

Phone +1 850-385-8101

Authorized person

Name MARYAM REZAIE
Role OWNER/PRESIDENT
Phone 8503858101

Taxonomy

Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary Yes

Agent

Name Role Address
REZAIE MARYAM Agent 1350 Thomaswood Dr, Tallahassee, FL, 32308

Manager

Name Role Address
REZAIE MARYAM Manager 1350 Thomaswood Dr, Tallahassee, FL, 32308

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-02-10 1350 Thomaswood Dr, Tallahassee, FL 32308 No data
CHANGE OF MAILING ADDRESS 2022-02-10 1350 Thomaswood Dr, Tallahassee, FL 32308 No data
REGISTERED AGENT ADDRESS CHANGED 2022-02-10 1350 Thomaswood Dr, Tallahassee, FL 32308 No data

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-04-25
ANNUAL REPORT 2022-02-10
ANNUAL REPORT 2021-04-26
Florida Limited Liability 2020-11-19

Date of last update: 02 Feb 2025

Sources: Florida Department of State