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THE SMILE MISSION SOUTH ORLANDO PLLC - Florida Company Profile

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Company Details

Entity Name: THE SMILE MISSION SOUTH ORLANDO PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Apr 2023 (2 years ago)
Document Number: L23000195529
FEI/EIN Number 92-4027924
Mail Address: 9900 SW 168TH ST, MIAMI, FL, 33157, US
Address: 8204 CRYSTAL CLEAR LN, UNIT 600, ORLANDO, FL, 32809, US
ZIP code: 32809
City: Orlando
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Smile Mission South Miami PLLC Manager 9900 SW 168TH ST, MIAMI, FL, 33157
SMILE MISSION SOUTH MIAMI PLLC Agent 9900 SW 168TH ST, MIAMI, FL, 33157

National Provider Identifier

NPI Number:
1245917939
Certification Date:
2023-08-28

Authorized Person:

Name:
DR. DUSTIN MARK PFUNDHELLER
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-12-19 8204 CRYSTAL CLEAR LN, UNIT 600, ORLANDO, FL 32809 -

Documents

Name Date
ANNUAL REPORT 2024-01-30
Florida Limited Liability 2023-04-20

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Date of last update: 03 Aug 2025

Sources: Florida Department of State