| Entity Name: | DENTAL TEAM OF COCONUT CREEK, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Jan 2022 (3 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 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659013126 | 2022-04-13 | 2022-04-13 | 1507 LYONS RD, COCONUT CREEK, FL, 330633934, US | 1507 LYONS RD, COCONUT CREEK, FL, 330633934, US | |||||||||||||||
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| Phone | +1 954-974-4104 |
| Fax | 9549746154 |
Authorized person
| Name | ROBERT RODRIGUEZ |
| Role | CEO |
| Phone | 9545160606 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GELFAND EDWARD Dr. | Agent | 2826 E Oakland Park Blvd, Fort Lauderdale, FL, 33306 |
| Name | Role | Address |
|---|---|---|
| OneBridge TDG MSO US LP | Authorized Member | 2826 E Oakland Park Blvd, Fort Lauderdale, FL, 33306 |
| Name | Role | Address |
|---|---|---|
| EDWARD GELFAND Dr. | Manager | 2826 E Oakland Park Blvd, Fort Lauderdale, FL, 33306 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-09-10 | 1507 LYONS ROAD, COCONUT CREEK, FL 33063 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-09-10 | GELFAND, EDWARD, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-09-10 | 2826 E Oakland Park Blvd, Ste 300, Fort Lauderdale, FL 33306 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-09-10 |
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-05-01 |
| Florida Limited Liability | 2022-01-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
