| Entity Name: | STLAB FLORIDA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 May 2022 (3 years ago) |
| Document Number: | L22000186333 |
| FEI/EIN Number | 88-2232213 |
| Address: | 12177 SW 132ND CT, MIAMI, FL, 33186 |
| Mail Address: | 12177 SW 132ND CT, MIAMI, FL, 33186 |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942918891 | 2022-11-09 | 2022-11-09 | 12177 SW 132ND CT, MIAMI, FL, 331866410, US | 12177 SW 132ND CT, MIAMI, FL, 331866410, US | |||||||||||||||||||||||||
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| Phone | +1 786-237-5664 |
Authorized person
| Name | LUIS RODOLFO CASTRO CONCHA |
| Role | OFFICE MANAGER |
| Phone | 7862375664 |
Taxonomy
| Taxonomy Code | 292200000X - Dental Laboratory |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | DENTAL LAB |
| Number | DL12105 |
| State | FL |
| Issuer | FLORIDA REVENUE CERTIFICATE NUMBER |
| Number | 2380187665136 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LUIS RODOLFO CASTRO CONCHA | Agent | 12177 SW 132ND CT, MIAMI, FL, 33186 |
| Name | Role | Address |
|---|---|---|
| Castro Concha Luis R | President | 12177 Southwest 132nd Court, Miami, FL, 33186 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-04-25 |
| Florida Limited Liability | 2022-05-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
