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AGRAWAL ENDODONTICS PLLC

Company Details

Entity Name: AGRAWAL ENDODONTICS PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 10 Mar 2023 (2 years ago)
Document Number: L23000125386
FEI/EIN Number 92-3011479
Address: 4499 Sugar Pine Dr, BOCA RATON, FL, 33487, US
Mail Address: 4499 Sugar Pine Dr, BOCA RATON, FL, 33487, US
ZIP code: 33487
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1477372910 2024-10-09 2024-10-09 12651 W SUNRISE BLVD STE 300, SUNRISE, FL, 333230906, US 12651 W SUNRISE BLVD STE 300, SUNRISE, FL, 333230906, US

Contacts

Phone +1 617-816-0261

Authorized person

Name NITIN AGRAWAL
Role CEO
Phone 6178160261

Taxonomy

Taxonomy Code 1223E0200X - Endodontist
Is Primary Yes

Agent

Name Role
INCORP SERVICES, INC. Agent

Authorized Member

Name Role Address
AGRAWAL NITIN Authorized Member 4499 Sugar Pine Dr, BOCA RATON, FL, 33487

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000025403 AXXON ENDODONTICS ACTIVE 2024-02-15 2029-12-31 No data 12651, SUITE 300, SUNRISE, FL, 33323

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-01-30 4499 Sugar Pine Dr, BOCA RATON, FL 33487 No data
CHANGE OF PRINCIPAL ADDRESS 2023-06-19 4499 Sugar Pine Dr, BOCA RATON, FL 33487 No data

Documents

Name Date
ANNUAL REPORT 2024-01-30
Florida Limited Liability 2023-03-10

Date of last update: 02 Feb 2025

Sources: Florida Department of State