| Entity Name: | SPECIALISTS IN ORTHODONTICS OF FLORIDA, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Sep 2021 (3 years ago) |
| Document Number: | L21000408837 |
| FEI/EIN Number | 87-2680496 |
| Address: | 2970 Brandywine Road, Suite 200, Atlanta, GA, 30341, US |
| Mail Address: | 2970 Brandywine Road, Suite 200, Atlanta, GA, 30341, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124799119 | 2021-09-21 | 2021-09-21 | 2970 BRANDYWINE RD STE 200, ATLANTA, GA, 303415528, US | 3353 N UNIVERSITY DR, CORAL SPRINGS, FL, 330654162, US | |||||||||||||||||
|
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| Phone | +1 954-416-0727 |
Authorized person
| Name | MONICAQ PERKINS |
| Role | ONBOARDING SPECIALIST |
| Phone | 7706921000 |
Taxonomy
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| Is Primary | Yes |
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 S PINE ISLAND RD, PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| Santiago Gerardo | Member | 2970 Brandywine Road, Atlanta, GA, 30341 |
| Name | Role | Address |
|---|---|---|
| Lyness Andy | Gene | 2970 Brandywine Road, Atlanta, GA, 30341 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-13 | 2970 Brandywine Road, Suite 200, Atlanta, GA 30341 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-13 | 2970 Brandywine Road, Suite 200, Atlanta, GA 30341 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-13 |
| ANNUAL REPORT | 2023-02-26 |
| ANNUAL REPORT | 2022-03-23 |
| Florida Limited Liability | 2021-09-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
