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ORLANDO TONGUE TIE AND DENTAL AIRWAY HEALTH CENTER, LLC

Company Details

Entity Name: ORLANDO TONGUE TIE AND DENTAL AIRWAY HEALTH CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 07 Jun 2023 (2 years ago)
Document Number: L23000275448
FEI/EIN Number 93-2189405
Address: 4063 N Goldenrod Rd, Suite 105, Winter Park, FL 32792
Mail Address: 4063 N Goldenrod Rd, Suite 105, Winter Park, FL 32792
ZIP code: 32792
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073341012 2024-07-22 2024-07-22 4063 N GOLDENROD RD STE 105, WINTER PARK, FL, 327928914, US 4063 N GOLDENROD RD STE 105, WINTER PARK, FL, 327928914, US

Contacts

Phone +1 689-291-2100

Authorized person

Name CARLA ARIAS
Role OWNER
Phone 7872429911

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary No
Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary Yes

Agent

Name Role Address
ARIAS, CARLA Agent 4063 N GOLDENROD RD, 105, WINTER PARK, FL 32792

Manager

Name Role Address
ARIAS, CARLA Manager 4063 N GOLDENROD RD, Suite 105 WINTER PARK, FL 32792

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-29 4063 N Goldenrod Rd, Suite 105, Winter Park, FL 32792 No data
CHANGE OF MAILING ADDRESS 2024-04-29 4063 N Goldenrod Rd, Suite 105, Winter Park, FL 32792 No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-29 4063 N GOLDENROD RD, 105, WINTER PARK, FL 32792 No data

Documents

Name Date
ANNUAL REPORT 2024-04-29
Florida Limited Liability 2023-06-07

Date of last update: 09 Jan 2025

Sources: Florida Department of State