| Entity Name: | PVR DENTAL SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 Sep 2022 (2 years ago) |
| Document Number: | L22000413966 |
| FEI/EIN Number | 92-0476892 |
| Address: | 7875 SW 104 SREET, SUITE 100, MIAMI, FL 33156 |
| Mail Address: | 7875 SW 104 SREET, SUITE 100, MIAMI, FL 33156 |
| ZIP code: | 33156 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043095086 | 2023-08-28 | 2023-11-30 | 1480 NW NORTH RIVER DR # E2305, MIAMI, FL, 331252867, US | 7875 SW 104TH ST STE 100, MIAMI, FL, 331562642, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 305-859-0539 |
| Phone | +1 646-305-7086 |
Authorized person
| Name | DR. RUBEN D VILORIA |
| Role | DOCTOR |
| Phone | 3058590539 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| Is Primary | No |
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VILORIA, RUBEN D | Agent | 1480 NW N RIVER DRIVE, APT 2305, MIAMI, FL 33125 |
| Name | Role | Address |
|---|---|---|
| VILORIA, RUBEN D | Authorized Member | 1480 NW N RIVER DRIVE, APT 2305, MIAMI, FL 33125 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000082735 | EVOLUTION ORTHODONTICS AND PEDIATRICS | ACTIVE | 2023-07-13 | 2028-12-31 | No data | 1480 NW N RIVER DRIVE, APT 2305, MIAMI, FL, 33125 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-01 | 7875 SW 104 SREET, SUITE 100, MIAMI, FL 33156 | No data |
| CHANGE OF MAILING ADDRESS | 2024-05-01 | 7875 SW 104 SREET, SUITE 100, MIAMI, FL 33156 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-05-01 |
| Florida Limited Liability | 2022-09-22 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
