| Entity Name: | PERIO DOCTOR LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PERIO DOCTOR LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 03 Jul 2023 (2 years ago) |
| Document Number: | L23000315170 |
| FEI/EIN Number |
93-2229669
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1312 East Broward Boulevard, Fort Lauderdale, FL, 33301, US |
| Mail Address: | 1312 East Broward Boulevard, Fort Lauderdale, FL, 33301, US |
| ZIP code: | 33301 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881440105 | 2024-04-26 | 2024-04-26 | 1312 E BROWARD BLVD, FORT LAUDERDALE, FL, 333012136, US | 1312 E BROWARD BLVD, FORT LAUDERDALE, FL, 333012136, US | |||||||||||||
|
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| Phone | +1 786-449-4262 |
Authorized person
| Name | DR. VANESSA LYNN MANCUSO |
| Role | OWNER |
| Phone | 7864494262 |
Taxonomy
| Taxonomy Code | 1223P0300X - Periodontist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MANCUSO VANESSA LDR. | Manager | 744 NE 14TH AVE, APT 18, FORT LAUDERDALE, FL, 33304 |
| Mancuso Vanessa L | Agent | Apt 18, Fort Lauderdale, FL, 33304 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000015512 | OASIS PERIO | ACTIVE | 2024-01-28 | 2029-12-31 | - | 1312 E BROWARD BLVD, FORT LAUDERDALE, FL, 33301 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-05-15 | 1312 East Broward Boulevard, Fort Lauderdale, FL 33301 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-09 | 1312 East Broward Boulevard, Fort Lauderdale, FL 33301 | - |
| REGISTERED AGENT NAME CHANGED | 2024-04-09 | Mancuso, Vanessa Lynn | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-09 | Apt 18, Apt 18, Fort Lauderdale, FL 33304 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-09 |
| Florida Limited Liability | 2023-07-03 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
