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SEBRING MODERN DENTISTS, PLLC

Company Details

Entity Name: SEBRING MODERN DENTISTS, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 02 Sep 2022 (2 years ago)
Document Number: L22000387644
FEI/EIN Number 92-0297152
Mail Address: 8794 W. BOYNTON BEACH BLVD., BOYNTON BEACH, FL, 33472, US
Address: 261 US HWY 27 N, Sebring, FL, 33870, US
ZIP code: 33870
County: Highlands
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1437876976 2022-10-25 2023-01-25 8794 W BOYNTON BEACH BLVD STE 218, BOYNTON BEACH, FL, 334724469, US 261 US HIGHWAY 27 N, SEBRING, FL, 338702146, US

Contacts

Phone +1 561-789-6611
Phone +1 863-382-2816

Authorized person

Name DR. SEAN TOMALTY
Role OWNER
Phone 5617896611

Taxonomy

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

Agent

Name Role Address
Tomalty Sean A Agent 8794 W. BOYNTON BEACH BLVD., BOYNTON BEACH, FL, 33472

Manager

Name Role Address
TOMALTY SEAN ADMD Manager 8794 W. BOYNTON BEACH BLVD, #218, BOYNTON BEACH, FL, 33472

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000126507 CIRCLE CITY DENTISTS OF SEBRING ACTIVE 2022-10-10 2027-12-31 No data 8794 W. BOYNTON BEACH BLVD, #218, BOYNTON BEACH, FL, 33473

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-04-25 261 US HWY 27 N, Sebring, FL 33870 No data
REGISTERED AGENT NAME CHANGED 2024-04-25 Tomalty, Sean A No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-25 8794 W. BOYNTON BEACH BLVD., 218, BOYNTON BEACH, FL 33472 No data
CHANGE OF PRINCIPAL ADDRESS 2023-04-13 261 US HWY 27 N, Sebring, FL 33870 No data

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-04-13
Florida Limited Liability 2022-09-02

Date of last update: 02 Feb 2025

Sources: Florida Department of State