| Entity Name: | FAMILY SMILES OF COCONUT CREEK, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Mar 2022 (3 years ago) |
| Document Number: | L22000126648 |
| FEI/EIN Number | 88-1565942 |
| Address: | 9089 PINTURA WAY, BOCA RATON, FL, 33496, US |
| Mail Address: | 9089 PINTURA WAY, BOCA RATON, FL, 33496, US |
| ZIP code: | 33496 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083344709 | 2022-06-15 | 2022-08-10 | 6746 N STATE ROAD 7, COCONUT CREEK, FL, 330734332, US | 6746 N STATE ROAD 7, COCONUT CREEK, FL, 330734332, US | |||||||||||||
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| Phone | +1 954-951-5755 |
Authorized person
| Name | JORDAN TOMALTY |
| Role | OWNER |
| Phone | 5617359898 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| GALVAN MESSICK, PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| TOMALTY JORDAN SD.M.D. | Manager | 9089 PINTURA WAY, BOCA RATON, FL, 33496 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000015695 | TOMALTY DENTAL CARE | ACTIVE | 2023-02-01 | 2028-12-31 | No data | 951 YAMATO ROAD, SUITE 106, BOCA RATON, FL, 33431 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-12 |
| ANNUAL REPORT | 2023-01-28 |
| Florida Limited Liability | 2022-03-28 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
