| Entity Name: | INCISOR ADVISOR LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Feb 2021 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 27 Dec 2022 (2 years ago) |
| Document Number: | L21000078896 |
| FEI/EIN Number | 86-2494393 |
| Address: | 3890 Davie Rd, Davie, FL, 33314, US |
| Mail Address: | 1113 s cypress rd, pompano beach, FL, 33060, US |
| ZIP code: | 33314 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336885482 | 2022-05-11 | 2022-05-11 | 3890 DAVIE RD STE 111, DAVIE, FL, 333142581, US | 3890 DAVIE RD STE 171, DAVIE, FL, 333142579, US | |||||||||||||
|
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| Phone | +1 682-554-8563 |
Authorized person
| Name | DR. OMAIR KHAN |
| Role | DENTIST/PARTNER |
| Phone | 6825548563 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KHAN ADIL | Authorized Member | 1113 s cypress rd, pompano beach, FL, 33060 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000106777 | DAVIE DESIGNER DENTAL | ACTIVE | 2022-09-01 | 2027-12-31 | No data | 1334 NORTHEAST 16TH AVENUE, FORT LAUDERDALE, FL, 33304 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-02-28 | 3890 Davie Rd, suite 112, Davie, FL 33314 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-09-05 | 336 E. COLLEGE AVE., SUITE 301, TALLAHASSEE, FL 32301 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-19 | 3890 Davie Rd, suite 112, Davie, FL 33314 | No data |
| REINSTATEMENT | 2022-12-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| Reg. Agent Resignation | 2024-11-14 |
| ANNUAL REPORT | 2024-02-28 |
| ANNUAL REPORT | 2023-01-19 |
| REINSTATEMENT | 2022-12-27 |
| Florida Limited Liability | 2021-02-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
