| Entity Name: | NUTRIDENTIST, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Feb 2022 (3 years ago) |
| Document Number: | L22000064783 |
| FEI/EIN Number | 88-0767518 |
| Address: | 17029 S Dixie Hwy, Palmetto Bay, FL 33157 |
| Mail Address: | 17029 S Dixie Hwy, Palmetto Bay, FL 33157 |
| ZIP code: | 33157 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568190247 | 2022-08-10 | 2022-08-10 | 9453 SW 174TH ST, PALMETTO BAY, FL, 331575614, US | 311 NE 8TH ST STE 107, HOMESTEAD, FL, 330304734, US | |||||||||||||
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| Phone | +1 305-245-3144 |
Authorized person
| Name | LAURA PEREZ MOREJON |
| Role | DENTIST |
| Phone | 7862984612 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PEREZ, LAURA | Agent | 9453 SW 174TH ST, PALMETTO BAY, FL 33157 |
| Name | Role | Address |
|---|---|---|
| PEREZ, LAURA | Manager | 9453 SW 174TH ST, PALMETTO BAY, FL 33157 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-23 | 17029 S Dixie Hwy, Palmetto Bay, FL 33157 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-23 | 17029 S Dixie Hwy, Palmetto Bay, FL 33157 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-23 |
| ANNUAL REPORT | 2023-01-31 |
| Florida Limited Liability | 2022-02-07 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
