| Entity Name: | RAPHAEL LIY, DDS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Nov 2020 (4 years ago) |
| Document Number: | L20000355988 |
| FEI/EIN Number | 85-4069118 |
| Address: | 1822 HEALTH CARE DRIVE, BUILDING 6, TRINITY, FL, 34655 |
| Mail Address: | 1822 HEALTH CARE DRIVE, BUILDING 6, TRINITY, FL, 34655 |
| ZIP code: | 34655 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366038499 | 2020-12-13 | 2021-02-02 | 1822 HEALTH CARE DR BLDG 6, TRINITY, FL, 346555362, US | 1822 HEALTH CARE DR BLDG 6, TRINITY, FL, 346555362, US | |||||||||||||
|
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| Phone | +1 727-848-5525 |
Authorized person
| Name | DR. RAPHAEL LIY |
| Role | MANAGER |
| Phone | 7278485525 |
Taxonomy
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| RAPHAEL LIY, DDS, LLC | Agent |
| Name | Role |
|---|---|
| RAPHAEL LIY, DDS, LLC | Manager |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000053249 | SEVEN SPRINGS ORTHODONTICS | ACTIVE | 2021-04-19 | 2026-12-31 | No data | 1822 HEALTH CARE DRIVE, BUILDING 6, TRINITY, FL, 34655 |
| G20000164119 | SMILES BY GRAFF | ACTIVE | 2020-12-28 | 2025-12-31 | No data | 1822 HEALTH CARE DRIVE, BUILDING 6, TRINITY, FL, 34655 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-03-24 |
| ANNUAL REPORT | 2021-04-16 |
| Florida Limited Liability | 2020-11-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
