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DENTAL TEAM OF COCONUT CREEK, LLC - Florida Company Profile

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Company Details

Entity Name: DENTAL TEAM OF COCONUT CREEK, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 10 Jan 2022 (4 years ago)
Document Number: L22000023193
FEI/EIN Number 85-3715519
Address: 1507 LYONS ROAD, COCONUT CREEK, FL, 33063
Mail Address: 2826 E. OAKLAND PARK BLVD., #300, FORT LAUDERDALE, FL, 33306, US
ZIP code: 33063
City: Pompano Beach
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
OneBridge TDG MSO US LP Authorized Member 2826 E Oakland Park Blvd, Fort Lauderdale, FL, 33306
EDWARD GELFAND Dr. Manager 2826 E Oakland Park Blvd, Fort Lauderdale, FL, 33306
GELFAND EDWARD Dr. Agent 2826 E Oakland Park Blvd, Fort Lauderdale, FL, 33306

National Provider Identifier

NPI Number:
1659013126
Certification Date:
2022-04-13

Authorized Person:

Name:
ROBERT RODRIGUEZ
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
9549746154

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-09-10 1507 LYONS ROAD, COCONUT CREEK, FL 33063 -
REGISTERED AGENT NAME CHANGED 2024-09-10 GELFAND, EDWARD, Dr. -
REGISTERED AGENT ADDRESS CHANGED 2024-09-10 2826 E Oakland Park Blvd, Ste 300, Fort Lauderdale, FL 33306 -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-09-10
ANNUAL REPORT 2024-02-08
ANNUAL REPORT 2023-05-01
Florida Limited Liability 2022-01-10

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Date of last update: 02 Aug 2025

Sources: Florida Department of State