| Entity Name: | PREMIER ORTHODONTIC AND PEDIATRIC DENTISTRY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Jun 2022 (3 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 25 May 2023 (2 years ago) |
| Document Number: | L22000272390 |
| FEI/EIN Number | 88-2804226 |
| Address: | 1037 SOUTH STATE ROAD 7, 215, WELLINGTON, FL, 33414, US |
| Mail Address: | 1037 SOUTH STATE ROAD 7, 215, WELLINGTON, FL, 33414, US |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306561410 | 2022-10-11 | 2022-10-11 | 1037 S STATE ROAD 7 STE 215, WELLINGTON, FL, 334146140, US | 1037 S STATE ROAD 7 STE 215, WELLINGTON, FL, 334146140, US | |||||||||||||||||
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| Phone | +1 561-333-4568 |
| Fax | 5612251136 |
| Phone | +1 561-421-5667 |
Authorized person
| Name | AMELIA K BURKE |
| Role | ADMIN |
| Phone | 5614215667 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| APICELLA ANTHONY | Agent | 11879 WINDMILL LAKE DRIVE, BOYNTON BEACH, FL, 33473 |
| Name | Role | Address |
|---|---|---|
| APICELLA ANTHONY | Manager | 1037 SOUTH STATE ROAD 7, SUITE 213, WELLINGTON, FL, 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC NAME CHANGE | 2023-05-25 | PREMIER ORTHODONTIC AND PEDIATRIC DENTISTRY LLC | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-11-19 |
| ANNUAL REPORT | 2024-03-04 |
| LC Name Change | 2023-05-25 |
| ANNUAL REPORT | 2023-02-17 |
| Florida Limited Liability | 2022-06-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
