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DAYTONA ENDODONTICS PLLC - Florida Company Profile

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Company Details

Entity Name: DAYTONA ENDODONTICS PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 14 Apr 2022 (3 years ago)
Document Number: L22000178920
FEI/EIN Number 88-1912737
Address: 911 BEVILLE RD STE 2, SOUTH DAYTONA, FL, 32119, US
Mail Address: 911 BEVILLE RD STE 2, SOUTH DAYTONA, FL, 32119, US
ZIP code: 32119
City: Daytona Beach
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BELIN MONIQUE Manager 911 BEVILLE RD STE 2, SOUTH DAYTONA, FL, 32119
BELIN MONIQUE Agent 8852 SW 57TH COURT RD, OCALA, FL, 34476

National Provider Identifier

NPI Number:
1114637055
Certification Date:
2022-12-01

Authorized Person:

Name:
MONIQUE BELIN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223E0200X - Endodontist
Is Primary:
Yes

Contacts:

Fax:
3866036014
Fax:
2866036014

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000083647 DAYTONA ENDODONTICS ACTIVE 2022-07-14 2027-12-31 - 911 BEVILLE RD STE #2, SOUTH DAYTONA, FL, 32119

Documents

Name Date
ANNUAL REPORT 2024-03-06
ANNUAL REPORT 2023-03-15
Florida Limited Liability 2022-04-14

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Date of last update: 01 Aug 2025

Sources: Florida Department of State