| Entity Name: | SPRINGS DENTAL OF PLANTATION, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 May 2022 (3 years ago) |
| Document Number: | L22000212208 |
| FEI/EIN Number | 88-2402013 |
| Address: | 8200 W SUNRISE BLVD, UNIT A1, PLANTATION, FL, 33322 |
| Mail Address: | 8200 W SUNRISE BLVD, UNIT A1, PLANTATION, FL, 33322 |
| ZIP code: | 33322 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609508621 | 2022-06-28 | 2022-06-28 | 8200 W SUNRISE BLVD STE A1, PLANTATION, FL, 333225426, US | 8200 W SUNRISE BLVD STE A1, PLANTATION, FL, 333225426, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 954-336-8478 |
Authorized person
| Name | HANSEL NAVARRETE |
| Role | DENTIST |
| Phone | 9543368478 |
Taxonomy
| Taxonomy Code | 1223E0200X - Endodontist |
| Is Primary | No |
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| Is Primary | No |
| Taxonomy Code | 1223P0300X - Periodontist |
| Is Primary | No |
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| Is Primary | No |
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| LEGON ENRIQUE A | Agent | 657 SOUTH DR, MIAMI SPRINGS, FL, 33166 |
| Name | Role | Address |
|---|---|---|
| LEGON ENRIQUE A | Authorized Member | 657 SOUTH DR STE 301, MIAMI SPRINGS, FL, 33166 |
| NAVARRETE HANSEL | Authorized Member | 657 SOUTH DR STE 301, MIAMI SPRINGS, FL, 33166 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-08 |
| ANNUAL REPORT | 2023-03-15 |
| Florida Limited Liability | 2022-05-04 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
