| Entity Name: | SMILE EVERYDAY DAVIE PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Apr 2021 (4 years ago) |
| Document Number: | L21000168750 |
| FEI/EIN Number | 86-3154010 |
| Address: | 4100 DAVIE RD, 104, 105, 106, DAVIE, FL, 33314 |
| Mail Address: | 10450 NORTH CAMELOT CIRCLE, DAVIE, FL, 33328 |
| ZIP code: | 33314 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790448827 | 2021-10-15 | 2021-10-15 | 10450 N CAMELOT CIR, DAVIE, FL, 333282257, US | 4100 DAVIE RD, SUITE 104,105,106, DAVIE, FL, 333143636, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 954-682-8000 |
| Fax | 9543206287 |
| Phone | +1 954-680-8000 |
Authorized person
| Name | MRS. JANEL MORALES |
| Role | OFFICE ADMINISTRATOR |
| Phone | 9546828000 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| Is Primary | No |
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| Is Primary | No |
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| Is Primary | No |
| Taxonomy Code | 124Q00000X - Dental Hygienist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| SIRAGE MOHAMED | Agent | 10450 NORTH CAMELOT CIRCLE, DAVIE, FL, 33328 |
| Name | Role | Address |
|---|---|---|
| IDENTAL SYSTEMS LLC | Manager | No data |
| SIRAGE MOHAMED | Manager | 10450 CAMELOT CIRCLE, DAVIE, FL, 33328 |
| CRISCUOLO STEPHEN | Manager | 10450 NORTH CAMELOT CIRCLE, DAVIE, FL, 33328 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-14 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-03-13 |
| Florida Limited Liability | 2021-04-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
