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PALM BEACH ORTHODONTIC SPECIALISTS, PLLC - Florida Company Profile

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Company Details

Entity Name: PALM BEACH ORTHODONTIC SPECIALISTS, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 03 Nov 2022 (3 years ago)
Document Number: L22000476247
FEI/EIN Number 92-0918078
Address: 8487 Lake Worth Road, Suite 200, Wellington, FL, 33467, US
Mail Address: 8487 Lake Worth Road, Suite 200, Wellington, FL, 33467, US
ZIP code: 33467
City: Lake Worth
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
YOUNG KIM Manager 4825 CHANTILLY ROAD, WELLINGTON, FL, 33467
MCMAHON GREGORY PESQ Agent 618 E SOUTH STREET, ORLANDO, FL, 32801

National Provider Identifier

NPI Number:
1578333084
Certification Date:
2024-10-22

Authorized Person:

Name:
KIM YOUNG
Role:
ORTHODONTIST
Phone:

Taxonomy:

Selected Taxonomy:
1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000140720 YOUNG ORTHODONTICS ACTIVE 2023-11-16 2028-12-31 - 8487 LAKE WORTH ROAD,SUITE 200, WELLINGTON, FL, 33467

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-05-09 8487 Lake Worth Road, Suite 200, Wellington, FL 33467 -
CHANGE OF MAILING ADDRESS 2024-05-09 8487 Lake Worth Road, Suite 200, Wellington, FL 33467 -

Documents

Name Date
ANNUAL REPORT 2025-01-25
ANNUAL REPORT 2024-02-03
ANNUAL REPORT 2023-02-01
Florida Limited Liability 2022-11-03

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Date of last update: 03 Jul 2025

Sources: Florida Department of State