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PINES PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC - Florida Company Profile

Company Details

Entity Name: PINES PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

PINES PEDIATRIC DENTISTRY AND ORTHODONTICS, 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: 14 Nov 2022 (2 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 12 Jan 2023 (2 years ago)
Document Number: L22000483365
FEI/EIN Number 88-4298808

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

Address: 17767 SW 2ND STREET, PEMBROKE PINES, FL, 33029, US
Mail Address: 17767 SW 2ND STREET, PEMBROKE PINES, FL, 33029, US
ZIP code: 33029
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710696612 2022-11-18 2022-11-18 17767 SW 2ND ST, PEMBROKE PINES, FL, 330293924, US 17767 SW 2ND ST, PEMBROKE PINES, FL, 330293924, US

Contacts

Phone +1 561-336-6560
Fax 5613366560

Authorized person

Name DR. MITCHELL MILLER
Role OWNER
Phone 5613366560

Taxonomy

Taxonomy Code 1223P0221X - Pediatric Dentist
Is Primary Yes
Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary No

Key Officers & Management

Name Role Address
BLALOCK WALTERS, P.A. Agent -
MILLER MITCHELL DDS Manager 700 SW 78TH AVE, APT. 614, PLANTATION, FL, 33324
KALLIS NICKOLAOS DMD Manager 700 SW 78TH AVE, APT. 614, PLANTATION, FL, 33324

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000051444 PINES PEDIATRIC DENTISTRY AND ORTHODONTICS ACTIVE 2025-04-16 2030-12-31 - 17767 SW 2ND STREET, PEMBROKE PINES, FL, 33029

Events

Event Type Filed Date Value Description
LC AMENDMENT 2023-01-12 - -
CHANGE OF PRINCIPAL ADDRESS 2023-01-12 17767 SW 2ND STREET, PEMBROKE PINES, FL 33029 -
CHANGE OF MAILING ADDRESS 2023-01-12 17767 SW 2ND STREET, PEMBROKE PINES, FL 33029 -

Documents

Name Date
ANNUAL REPORT 2025-02-07
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-02-06
LC Amendment 2023-01-12
Florida Limited Liability 2022-11-14

Date of last update: 02 Apr 2025

Sources: Florida Department of State