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SG ZAMBRANO ORTHODONTIC GROUP PLLC

Company Details

Entity Name: SG ZAMBRANO ORTHODONTIC GROUP PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 13 Dec 2021 (3 years ago)
Document Number: L21000526385
FEI/EIN Number 87-4104335
Address: 205 BUTTONWOOD DRIVE, KEY BISCAYNE, FL 33149
Mail Address: 205 BUTTONWOOD DRIVE, KEY BISCAYNE, FL 33149
ZIP code: 33149
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982355897 2022-01-12 2022-01-12 550 BILTMORE WAY STE 770, CORAL GABLES, FL, 331345730, US 550 BILTMORE WAY STE 770, CORAL GABLES, FL, 331345730, US

Contacts

Phone +1 305-394-8112

Authorized person

Name ANNE TODD
Role ASSISTANT MANAGER
Phone 9783876025

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Agent

Name Role Address
ZAMBRANO, JAIME Agent 205 BUTTONWOOD DRIVE, KEY BISCAYNE, FL 33149

Manager

Name Role Address
ZAMBRANO, JAIME Manager 205 BUTTONWOOD DRIVE, KEY BISCAYNE, FL 33149

Documents

Name Date
ANNUAL REPORT 2024-07-16
ANNUAL REPORT 2023-03-09
ANNUAL REPORT 2022-01-24
Florida Limited Liability 2021-12-13

Date of last update: 13 Jan 2025

Sources: Florida Department of State