| Entity Name: | PEDIATRIC DENTISTRY OF HORIZON WEST PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Apr 2021 (4 years ago) |
| Document Number: | L21000174072 |
| FEI/EIN Number | 86-3496302 |
| Address: | 15835 Shaddock Drive, Winter Garden, FL, 34787, US |
| Mail Address: | 15835 Shaddock Drive, Winter Garden, FL, 34787, US |
| ZIP code: | 34787 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881366565 | 2021-10-01 | 2021-11-24 | 15835 SHADDOCK DR STE 100, WINTER GARDEN, FL, 347875778, US | 15835 SHADDOCK DR STE 100, WINTER GARDEN, FL, 347875778, US | |||||||||||||||
|
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| Phone | +1 407-554-4222 |
| Fax | 6894074086 |
Authorized person
| Name | DR. HANY AZER |
| Role | OWNER |
| Phone | 4075544222 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AZER HANY | Agent | 15835 Shaddock Drive, Winter Garden, FL, 34787 |
| Name | Role | Address |
|---|---|---|
| AZER HANY | Managing Member | 15835 Shaddock Drive, Winter Garden, FL, 34787 |
| Name | Role | Address |
|---|---|---|
| Azer Mariham | Manager | 15835 Shaddock Drive, Winter Garden, FL, 34787 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-06 | 15835 Shaddock Drive, Suite 100, Winter Garden, FL 34787 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-06 | 15835 Shaddock Drive, Suite 100, Winter Garden, FL 34787 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-06 | 15835 Shaddock Drive, Suite 100, Winter Garden, FL 34787 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-23 |
| ANNUAL REPORT | 2023-01-06 |
| ANNUAL REPORT | 2022-03-28 |
| Florida Limited Liability | 2021-04-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
