| Entity Name: | BENJAMIN YANOWITZ, D.M.D., M.S., PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 08 Dec 2022 (2 years ago) |
| Document Number: | L22000516032 |
| FEI/EIN Number | 88-4379200 |
| Address: | 9700 STIRLING ROAD, #113, COOPER CITY, FL 33024 |
| Mail Address: | 9700 STIRLING ROAD, #113, COOPER CITY, FL 33024 |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225737349 | 2023-02-27 | 2023-02-27 | 9700 STIRLING RD STE 113, HOLLYWOOD, FL, 330248011, US | 9700 STIRLING RD STE 113, HOLLYWOOD, FL, 330248011, US | |||||||||||||||||||
|
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| Phone | +1 954-431-9500 |
Authorized person
| Name | DR. BENJAMIN YANOWITZ |
| Role | OWNER/DENTIST |
| Phone | 9544319500 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PERSONAL NPI NUMBER |
| Number | 1790288140 |
| State | NY |
| Name | Role | Address |
|---|---|---|
| YANOWITZ, BENJAMIN, DMD, MS | Agent | 9700 STIRLING ROAD, #113, COOPER CITY, FL 33024 |
| Name | Role | Address |
|---|---|---|
| YANOWITZ, BENJAMIN, DMD, MS | Authorized Member | 9700 STIRLING ROAD #113, COOPER CITY, FL 33024 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-26 |
| Florida Limited Liability | 2022-12-08 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
