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SUPREME DENTAL CARE LLC

Company Details

Entity Name: SUPREME DENTAL CARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 06 Jan 2023 (2 years ago)
Document Number: L23000007579
FEI/EIN Number 92-1758787
Address: 4600 W COMMERCIAL BLVD #2, TAMARAC, FL 33319
Mail Address: 7000 W OAKLAND PARK BLVD STE 301, SUNRISE, FL 33313
ZIP code: 33319
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104522812 2023-02-03 2023-02-03 7000 W OAKLAND PARK BLVD STE 301, LAUDERHILL, FL, 333131016, US 4600 W COMMERCIAL BLVD STE 2, TAMARAC, FL, 333193307, US

Contacts

Phone +1 954-742-3550
Fax 9547418965

Authorized person

Name SERGIO JACAS
Role OWNER
Phone 9547423550

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Agent

Name Role Address
JACAS, SERGIO Agent 7000 W OAKLAND PARK BLVD STE 301, SUNRISE, FL 33313

Manager

Name Role Address
JACAS, SERGIO Manager 7000 W OAKLAND PARK BLVD STE 301, SUNRISE, FL 33313

Documents

Name Date
ANNUAL REPORT 2025-01-28
ANNUAL REPORT 2024-02-05
Florida Limited Liability 2023-01-06

Date of last update: 10 Feb 2025

Sources: Florida Department of State