| Entity Name: | BORINQUEN PERIODONTICS & DENTAL IMPLANTS PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Mar 2022 (3 years ago) |
| Document Number: | L22000136897 |
| FEI/EIN Number | 88-1848515 |
| Address: | 218 Scotland Yard Blvd, Saint Johns, FL, 32259, US |
| Mail Address: | 218 SCOTLAND YARD BLVD, SAINT JOHNS, FL, 32259, UN |
| ZIP code: | 32259 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477273589 | 2022-08-30 | 2022-08-30 | 218 SCOTLAND YARD BLVD, SAINT JOHNS, FL, 322595914, US | 14866 OLD SAINT AUGUSTINE RD STE 111, JACKSONVILLE, FL, 322582611, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 904-305-8555 |
| Phone | +1 904-342-6222 |
Authorized person
| Name | DR. BRENDA RODRIGUEZ HAMILTON |
| Role | CEO |
| Phone | 9043058555 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TIERNEY RICHARD MESQ. | Agent | 1919 BLANDING BLVD, JACKSONVILLE, FL, 32210 |
| Name | Role | Address |
|---|---|---|
| HAMILTON BRENDA RDMD, MS | Manager | 218 SCOTLAND YARD BLVD, SAINT JOHNS, FL, 32259 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-06 | 218 Scotland Yard Blvd, Saint Johns, FL 32259 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-16 |
| Florida Limited Liability | 2022-03-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
