| Entity Name: | BELLAGIO DENTAL PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Feb 2021 (4 years ago) |
| Document Number: | L21000064862 |
| FEI/EIN Number | 86-2329092 |
| Address: | 517 NORTH LAKE BLVD, NORTH PALM BEACH, FL, 33408, US |
| Mail Address: | 517 NORTH LAKE BLVD, NORTH PALM BEACH, FL, 33408, US |
| ZIP code: | 33408 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326738469 | 2023-05-11 | 2023-05-11 | 517 NORTHLAKE BLVD, NORTH PALM BEACH, FL, 334085408, US | 517 NORTHLAKE BLVD STE 3, NORTH PALM BEACH, FL, 334085408, US | |||||||||||||
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| Phone | +1 561-705-0045 |
Authorized person
| Name | DR. ROSE FARRAH |
| Role | OWNER/DENTIST |
| Phone | 5617050045 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FARRAH ROSE | Agent | 3116 N FLAGLER DR, WEST PALM BEACH, FL, 33407 |
| Name | Role | Address |
|---|---|---|
| farrah rose | mana | 3116 N flagler drive #3, west palm beach, FL, 33408 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000136128 | BELLAGIO DENTAL IMPLANT CENTER | ACTIVE | 2021-10-09 | 2026-12-31 | No data | 517 NORTHLAKE BLVD, NORTH PALM BEACH, FL, 33408 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-29 | 517 NORTH LAKE BLVD, #3, NORTH PALM BEACH, FL 33408 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-29 | 517 NORTH LAKE BLVD, #3, NORTH PALM BEACH, FL 33408 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-10 |
| ANNUAL REPORT | 2023-03-27 |
| ANNUAL REPORT | 2022-04-29 |
| Florida Limited Liability | 2021-02-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
