Search icon

SAND MINE DENTISTRY, PLLC - Florida Company Profile

Company Details

Entity Name: SAND MINE DENTISTRY, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

SAND MINE DENTISTRY, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 08 Sep 2022 (3 years ago)
Document Number: L22000394246
FEI/EIN Number 92-0313449

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 49591 US Hwy 27,, Suite 301, DAVENPORT, FL, 33897, US
Mail Address: 49591 US Hwy 27,, Suite 301, DAVENPORT, FL, 33897, US
ZIP code: 33897
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255025235 2023-06-05 2023-06-05 49591 HIGHWAY 27 STE 301, DAVENPORT, FL, 338979507, US 49591 HIGHWAY 27 STE 301, DAVENPORT, FL, 338979507, US

Authorized person

Name PETER KELLY
Role OWNER
Phone 4074326224

Taxonomy

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

Key Officers & Management

Name Role Address
ROBINSON MATTHEW Agent 3221 CONWAY RD, ORLANDO, FL, 32812
KELLY PETER Manager 865 BALCH AVE, WINTER PARK, FL, 32789

Documents

Name Date
ANNUAL REPORT 2024-02-23
ANNUAL REPORT 2023-02-24
Florida Limited Liability 2022-09-08

Date of last update: 02 May 2025

Sources: Florida Department of State