| Entity Name: | BRIGHTER SMILES BRIGHTER FUTURE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Aug 2021 (3 years ago) |
| Document Number: | L21000371697 |
| FEI/EIN Number | 87-2538835 |
| Address: | 4833 SANBAR WILLOW CT, ORLANDO, FL, 32808, US |
| Mail Address: | 4833 SANBAR WILLOW CT, ORLANDO, FL, 32808, US |
| ZIP code: | 32808 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235705708 | 2021-06-03 | 2021-06-03 | 4833 SANDBAR WILLOW CT, ORLANDO, FL, 328083707, US | 4833 SANDBAR WILLOW CT, ORLANDO, FL, 328083707, US | |||||||||||||||||||||||||
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| Phone | +1 407-719-4074 |
Authorized person
| Name | MRS. ANTWANYA KING |
| Role | OWNER |
| Phone | 1407719407 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 024012200 |
| State | FL |
| Issuer | HOME HEATH |
| Number | 024012200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KING ANTWANYA C | Agent | 4833 SANBAR WILLOW CT, ORLANDO, FL, 32808 |
| Name | Role | Address |
|---|---|---|
| KING ANTWANYA C | Manager | 4833 SANBAR WILLOW CT, ORLANDO, FL, 32808 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-10 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-04-22 |
| Florida Limited Liability | 2021-08-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
