| 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 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114637055 | 2022-12-01 | 2022-12-01 | 911 BEVILLE RD STE 2, SOUTH DAYTONA, FL, 321191726, US | 911 BEVILLE RD STE 2, SOUTH DAYTONA, FL, 321191726, US | |||||||||||||||||
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| Phone | +1 386-236-8793 |
| Fax | 3866036014 |
| Fax | 2866036014 |
Authorized person
| Name | MONIQUE BELIN |
| Role | OWNER |
| Phone | 4102539963 |
Taxonomy
| Taxonomy Code | 1223E0200X - Endodontist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BELIN MONIQUE | Agent | 8852 SW 57TH COURT RD, OCALA, FL, 34476 |
| Name | Role | Address |
|---|---|---|
| BELIN MONIQUE | Manager | 911 BEVILLE RD STE 2, SOUTH DAYTONA, FL, 32119 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000083647 | DAYTONA ENDODONTICS | ACTIVE | 2022-07-14 | 2027-12-31 | No data | 911 BEVILLE RD STE #2, SOUTH DAYTONA, FL, 32119 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-03-15 |
| Florida Limited Liability | 2022-04-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
