| Entity Name: | A & E DMD PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Oct 2022 (2 years ago) |
| Document Number: | L22000431911 |
| FEI/EIN Number | 92-0673389 |
| Address: | 4511 Sun N Lake Blvd, Sebring, FL, 33872, US |
| Mail Address: | 408 W INTERLAKE BLVD, LAKE PLACID, FL, 33852, US |
| ZIP code: | 33872 |
| County: | Highlands |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821792607 | 2023-03-28 | 2023-03-28 | 408 W INTERLAKE BLVD, LAKE PLACID, FL, 338520700, US | 4511 SUN N LAKE BLVD STE 102, SEBRING, FL, 338722169, US | |||||||||||||||||
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| Phone | +1 863-465-0098 |
| Fax | 8634651155 |
| Phone | +1 863-385-1911 |
Authorized person
| Name | DR. JAMES OXER |
| Role | OWNER |
| Phone | 8634145779 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| OXER MONIQUE | Agent | 408 W INTERLAKE BLVD, LAKE PLACID, FL, 33852 |
| Name | Role | Address |
|---|---|---|
| OXER JAMES E | Authorized Member | 408 W INTERLAKE BVLD, LAKE PLACID, FL, 33852 |
| DORMESHIAN ANDREW | Authorized Member | 1253 SELVA MARINA CIRCLE, ATLANTIC BEACH, FL, 32233 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000039653 | SUN 'N LAKE DENTAL | ACTIVE | 2023-03-27 | 2028-12-31 | No data | 408 W INTERLAKE BLVD, LAKE PLACID, FL, 33852 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-05 | 4511 Sun N Lake Blvd, Ste 102, Sebring, FL 33872 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-02-09 |
| Florida Limited Liability | 2022-10-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
