| Entity Name: | ALLURE DENTAL OF HOLLYWOOD, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Feb 2021 (4 years ago) |
| Document Number: | L21000065487 |
| FEI/EIN Number | 86-2251694 |
| Mail Address: | 2263 S UNIVERSITY DR, DAVIE, FL, 33324, US |
| Address: | 8580 stirling rd, Suite 101, Hollywood, FL, 33024, US |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326632613 | 2021-02-26 | 2021-02-26 | 8580 STIRLING RD STE 101, HOLLYWOOD, FL, 330248206, US | 8580 STIRLING RD STE 101, HOLLYWOOD, FL, 330248206, US | |||||||||||||||||||||
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| Phone | +1 954-500-0102 |
| Fax | 9545000101 |
Authorized person
| Name | VADIM VALDMAN |
| Role | OWNER |
| Phone | 2128106226 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | PENDING |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VALDMAN VADIM | Agent | 2263 S UNIVERSITY DR, DAVIE, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| VALDMAN VADIM | Authorized Representative | 2263 S UNIVERSITY DR, DAVIE, FL, 33324 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-21 | 8580 stirling rd, Suite 101, Hollywood, FL 33024 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-21 |
| Florida Limited Liability | 2021-02-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
