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GULFSTREAM PEDIATRIC DENTISTRY AND ORTHODONTICS LLC

Company Details

Entity Name: GULFSTREAM PEDIATRIC DENTISTRY AND ORTHODONTICS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 04 Feb 2022 (3 years ago)
Document Number: L22000044055
FEI/EIN Number 88-0556029
Address: 3469 WEST BOYNTON BEACH BLVD, STE 20, BOYNTON BEACH, FL, 33436
Mail Address: 3469 WEST BOYNTON BEACH BLVD, STE 20, BOYNTON BEACH, FL, 33436
ZIP code: 33436
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1871247692 2022-02-10 2022-02-10 3469 W BOYNTON BEACH BLVD STE 20, BOYNTON BEACH, FL, 334364639, US 3469 W BOYNTON BEACH BLVD STE 20, BOYNTON BEACH, FL, 334364639, US

Contacts

Phone +1 561-797-9042

Authorized person

Name SAYLIS ALEMAN
Role PRACTICE ADMINISTRATOR
Phone 5617979042

Taxonomy

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

Agent

Name Role Address
JIRON & COMPANY, CPA, PA Agent 5200 SW 8TH ST, CORAL GABLES, FL, 33134

Authorized Member

Name Role Address
SPENCER SCOTT DMD, MS Authorized Member 3469 WEST BOYNTON BEACH BLVD, STE 20, BOYNTON BEACH, FL, 33436

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-01-27 JIRON & COMPANY, CPA, PA No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-27 5200 SW 8TH ST, SUITE 201B, CORAL GABLES, FL 33134 No data

Documents

Name Date
ANNUAL REPORT 2024-02-28
ANNUAL REPORT 2023-01-27
Florida Limited Liability 2022-02-04

Date of last update: 02 Feb 2025

Sources: Florida Department of State