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AGRAWAL ENDODONTICS PLLC - Florida Company Profile

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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: 12651 W Sunrise Blvd, Sunrise, FL, 33323, US
Mail Address: 12651 W Sunrise Blvd, Sunrise, FL, 33323, US
ZIP code: 33323
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
AGRAWAL NITIN Authorized Member 16668 Golfview Dr, Weston, FL, 33326
- Agent -

National Provider Identifier

NPI Number:
1477372910
Certification Date:
2024-10-09

Authorized Person:

Name:
NITIN AGRAWAL
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
1223E0200X - Endodontist
Is Primary:
Yes

Contacts:

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 - 12651, SUITE 300, SUNRISE, FL, 33323

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-02-06 12651 W Sunrise Blvd, Suite 300, Sunrise, FL 33323 -
CHANGE OF MAILING ADDRESS 2025-02-06 12651 W Sunrise Blvd, Suite 300, Sunrise, FL 33323 -
CHANGE OF MAILING ADDRESS 2024-01-30 4499 Sugar Pine Dr, BOCA RATON, FL 33487 -
CHANGE OF PRINCIPAL ADDRESS 2023-06-19 4499 Sugar Pine Dr, BOCA RATON, FL 33487 -

Documents

Name Date
ANNUAL REPORT 2025-02-06
ANNUAL REPORT 2024-01-30
Florida Limited Liability 2023-03-10

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Date of last update: 02 Aug 2025

Sources: Florida Department of State