| Entity Name: | HERBECK DENTAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Nov 2022 (2 years ago) |
| Document Number: | L22000505276 |
| FEI/EIN Number | 92-1305584 |
| Address: | 1355 N. COURTENAY PKWY STE K, MERRITT ISLAND, FL, 32953, US |
| Mail Address: | 1355 N. COURTENAY PKWY STE K, MERRITT ISLAND, FL, 32953, US |
| ZIP code: | 32953 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740991652 | 2022-12-12 | 2022-12-12 | 1355 N COURTENAY PKWY STE K, MERRITT ISLAND, FL, 329534401, US | 1355 N COURTENAY PKWY STE K, MERRITT ISLAND, FL, 329534401, US | |||||||||||||
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| Phone | +1 321-459-0009 |
Authorized person
| Name | DR. ALEXIS NOELLE HERBECK |
| Role | DENTIST |
| Phone | 3214590009 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HERBECK MICHELLE G | Agent | 275 UTOPIA CIRCLE, MERRITT ISLAND, FL, 32952 |
| Name | Role | Address |
|---|---|---|
| HERBECK ALEXIS NDMD | Authorized Member | 1355 N. COURTENAY PARKWAY, SUITE K, MERRITT ISLAND, FL, 32953 |
| Name | Role | Address |
|---|---|---|
| HERBECK MICHELLE G | Manager | 275 UTOPIA CIRCLE, MERRITT ISLAND, FL, 32952 |
| HERBECK GARY EDMD | Manager | 1355 N. COURTENAY PKWY STE K, MERRITT ISLAND, FL, 32953 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-14 |
| ANNUAL REPORT | 2023-03-13 |
| Florida Limited Liability | 2022-11-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
