| Entity Name: | KING PEDIATRIC DENTISTRY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Apr 2021 (4 years ago) |
| Document Number: | L21000151562 |
| FEI/EIN Number | 863204898 |
| Address: | 1695 N Park Dr #102, Weston, FL, 33326, US |
| Mail Address: | 1695 N Park Dr #102, Weston, FL, 33326, US |
| ZIP code: | 33326 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790455459 | 2021-09-15 | 2021-09-15 | 1695 N PARK DR STE 102, WESTON, FL, 333263294, US | 1695 N PARK DR STE 102, WESTON, FL, 333263294, US | |||||||||||||
|
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| Phone | +1 954-451-0265 |
Authorized person
| Name | DR. ALICIA KING |
| Role | OWNER/DMD |
| Phone | 9544510265 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KING ALICIA | Agent | 1695 N Park Dr #102, Weston, FL, 33326 |
| Name | Role | Address |
|---|---|---|
| KING ALICIA | Manager | 1695 N Park Dr #102, Weston, FL, 33326 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-02 | 1695 N Park Dr #102, Weston, FL 33326 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-02 | 1695 N Park Dr #102, Weston, FL 33326 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-02-02 | KING, ALICIA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-02 | 1695 N Park Dr #102, Weston, FL 33326 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-02-02 |
| Florida Limited Liability | 2021-04-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
