| Entity Name: | TEMPLO DENTAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Jun 2021 (4 years ago) |
| Document Number: | L21000270925 |
| FEI/EIN Number | 87-1136270 |
| Address: | 13762 W. STATE ROAD 84, 251, DAVIE, FL, 33325, US |
| Mail Address: | 13762 W. STATE ROAD 84, 251, DAVIE, FL, 33325, US |
| ZIP code: | 33325 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821835687 | 2024-07-10 | 2024-07-10 | 8333 W MCNAB RD STE 104, TAMARAC, FL, 333213203, US | 8333 W MCNAB RD STE 104, TAMARAC, FL, 333213203, US | |||||||||||||
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| Phone | +1 954-722-1100 |
Authorized person
| Name | GABRIELA MOFFETT |
| Role | CEO |
| Phone | 3059055474 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOFFETT GABRIELA F | Agent | 8241 NW 70 ST, TAMARAC, FL, 33321 |
| Name | Role | Address |
|---|---|---|
| MOFFETT GABRIELA F | Authorized Member | 8241 NW 70 ST., TAMARAC, FL, 33321 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000060435 | REVIVE DENTAL | ACTIVE | 2024-05-08 | 2029-12-31 | No data | 13762 W. STATE ROAD 84, #251, DAVIE, FL, 33325 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| AMENDED ANNUAL REPORT | 2023-12-11 |
| AMENDED ANNUAL REPORT | 2023-11-29 |
| ANNUAL REPORT | 2023-03-15 |
| ANNUAL REPORT | 2022-03-10 |
| Florida Limited Liability | 2021-06-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
