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VELOZ DENTISTRY, PLLC

Company Details

Entity Name: VELOZ DENTISTRY, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 14 Apr 2022 (3 years ago)
Document Number: L22000180388
FEI/EIN Number 88-2452294
Address: 489 DAGAMA DR, CLERMONT, FL, 34715, US
Mail Address: 489 DAGAMA DR, CLERMONT, FL, 34715, US
ZIP code: 34715
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902598824 2023-05-22 2023-05-22 489 DAGAMA DR, CLERMONT, FL, 347158037, US 3214 CITRUS TOWER BLVD, CLERMONT, FL, 34711, US

Contacts

Phone +1 352-460-5165

Authorized person

Name DR. LUIS VELOZ
Role OWNER
Phone 3524605165

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Agent

Name Role Address
HOWARD CHASE EESQ. Agent 151 NW 1ST AVENUE, DELRAY BEACH, FL, 33444

Manager

Name Role Address
VELOZ LUIS DMD Manager 489 DAGAMA DR, CLERMONT, FL, 34715

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000131224 CLERMONT HILLS DENTISTRY ACTIVE 2023-10-24 2028-12-31 No data 489 DAGAMA DR, CLERMONT, FL, 34715

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-04-18
Florida Limited Liability 2022-04-14

Date of last update: 02 Feb 2025

Sources: Florida Department of State