| Entity Name: | FABIOLA CAMACHO PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 03 Feb 2022 (3 years ago) |
| Document Number: | L22000058252 |
| FEI/EIN Number | 88-0999458 |
| Address: | 1142 EAST STATE ROAD 434, WINTER SPRINGS, FL 32708 |
| Mail Address: | 1142 EAST STATE ROAD 434, WINTER SPRINGS, FL 32708 |
| ZIP code: | 32708 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558064345 | 2023-03-22 | 2023-03-22 | 1142 E STATE ROAD 434, WINTER SPRINGS, FL, 327082715, US | 1142 E STATE ROAD 434, WINTER SPRINGS, FL, 327082715, US | |||||||||||||
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| Phone | +1 407-327-2030 |
Authorized person
| Name | DR. FABIOLA CAMACHO |
| Role | OWNER |
| Phone | 4073272030 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CAMACHO, FABIOLA | Agent | 3539 WADING HERON TERRACE, OVIEDO, FL 32766 |
| Name | Role | Address |
|---|---|---|
| CAMACHO, FABIOLA | Manager | 3539 WADING HERON TERRACE, OVIEDO, FL 32765 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000065850 | 434 DENTISTRY | ACTIVE | 2022-05-27 | 2027-12-31 | No data | 1142 E STATE ROAD 434, WINTER SPRINGS, FL, 32708 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-06 | 3539 WADING HERON TERRACE, OVIEDO, FL 32766 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-17 | 1142 EAST STATE ROAD 434, WINTER SPRINGS, FL 32708 | No data |
| CHANGE OF MAILING ADDRESS | 2022-05-17 | 1142 EAST STATE ROAD 434, WINTER SPRINGS, FL 32708 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-10 |
| ANNUAL REPORT | 2023-01-06 |
| Florida Limited Liability | 2022-02-03 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
