| Entity Name: | GD FL GARDENS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 23 May 2022 (3 years ago) |
| Document Number: | L22000220602 |
| FEI/EIN Number | 88-2503255 |
| Address: | 5803 NW 151ST STREET, SUITE 201, MIAMI LAKES, FL 33014 |
| Mail Address: | 5803 NW 151ST STREET, SUITE 201, MIAMI LAKES, FL 33014 |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225758121 | 2022-08-31 | 2022-08-31 | 5520 PGA BLVD STE 208, WEST PALM BEACH, FL, 334183981, US | 5520 PGA BLVD STE 208, WEST PALM BEACH, FL, 334183981, US | |||||||||||||
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| Phone | +1 561-776-6177 |
Authorized person
| Name | CHAD HENDRICKS |
| Role | CREDENTIALING |
| Phone | 6128590444 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CAPITOL CORPORATE SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| MOLINA, ANTONIO | MEMBER | 703 NW 62ND AVE, STE 490, MIAMI, FL 33126 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-20 |
| ANNUAL REPORT | 2023-04-28 |
| Florida Limited Liability | 2022-05-23 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
