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DELRAY ORTHODONTICS LLC - Florida Company Profile

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Company Details

Entity Name: DELRAY ORTHODONTICS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 16 Dec 2021 (4 years ago)
Last Event: LC NAME CHANGE
Event Date Filed: 17 Oct 2022 (3 years ago)
Document Number: L21000530154
FEI/EIN Number 87-4085919
Address: 10 SE 1ST AVE, SUITE d, DELRAY BEACH, FL, 33444, US
Mail Address: 10 SE 1ST AVE, SUITE d, DELRAY BEACH, FL, 33444, US
ZIP code: 33444
City: Delray Beach
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MCCAFFREY KEVIN Manager 10 SE 1ST AVE SUITE C, DELRAY BEACH, FL, 33444
STOESS-ALLEN JANET Manager 10 SE 1ST AVE SUITE C, DELRAY BEACH, FL, 33444
PUCKETT JUSTIN Agent 10 SE 1ST AVE, DELRAY BEACH, FL, 33444

National Provider Identifier

NPI Number:
1538829866
Certification Date:
2021-12-28

Authorized Person:

Name:
FAITH GASKINS
Role:
DIRECTOR OF CREDENTIALING
Phone:

Taxonomy:

Selected Taxonomy:
1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000049571 DELRAY ORTHODONTICS ACTIVE 2022-04-19 2027-12-31 - 10 SE 1ST AVENUE, SUITE C, DELRAY BEACH, FL, 33444

Events

Event Type Filed Date Value Description
LC NAME CHANGE 2022-10-17 DELRAY ORTHODONTICS LLC -
CHANGE OF PRINCIPAL ADDRESS 2022-09-09 10 SE 1ST AVE, SUITE d, DELRAY BEACH, FL 33444 -
CHANGE OF MAILING ADDRESS 2022-09-09 10 SE 1ST AVE, SUITE d, DELRAY BEACH, FL 33444 -

Documents

Name Date
ANNUAL REPORT 2025-02-06
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-02-07
LC Name Change 2022-10-17
ANNUAL REPORT 2022-04-11
Florida Limited Liability 2021-12-16

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Date of last update: 02 Aug 2025

Sources: Florida Department of State