| Entity Name: | THE SMILE MISSION SOUTH ORLANDO PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| 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 |
| Address: | 8204 CRYSTAL CLEAR LN, UNIT 600, ORLANDO, FL 32809 |
| ZIP code: | 32809 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245917939 | 2023-07-03 | 2023-08-28 | 9900 SW 168TH ST, MIAMI, FL, 331574378, US | 8204 CRYSTAL CLEAR LN STE 700, ORLANDO, FL, 328097755, US | |||||||||||||
|
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| Phone | +1 786-701-8246 |
Authorized person
| Name | DR. DUSTIN MARK PFUNDHELLER |
| Role | MANAGER |
| Phone | 7867018246 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PFUNDHELLER, DUSTIN M | Agent | 9900 SW 168TH ST, MIAMI, FL 33157 |
| Name | Role | Address |
|---|---|---|
| PFUNDHELLER, DUSTIN M | Manager | 9900 SW 168TH ST, MIAMI, FL 33157 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-12-19 | 8204 CRYSTAL CLEAR LN, UNIT 600, ORLANDO, FL 32809 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-30 |
| Florida Limited Liability | 2023-04-20 |
Date of last update: 10 Jan 2025
Sources: Florida Department of State
