| Entity Name: | THE SMILE MISSION SARASOTA PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 19 Jul 2023 (2 years ago) |
| Document Number: | L23000340957 |
| FEI/EIN Number | 93-2909461 |
| Mail Address: | 9900 SW 168TH ST, MIAMI, FL 33157 |
| Address: | 11525E STATE ROAD 70, UNIT 11525, BRADENTON, FL 34202 |
| ZIP code: | 34202 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366227654 | 2023-08-28 | 2023-08-28 | 9900 SW 168TH ST, MIAMI, FL, 331574378, US | 11525 STATE ROAD 70 E UNIT 11525, LAKEWOOD RANCH, FL, 342029419, US | |||||||||||||
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| Phone | +1 786-701-8246 |
Authorized person
| Name | DUSTIN 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 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| Florida Limited Liability | 2023-07-19 |
Date of last update: 09 Jan 2025
Sources: Florida Department of State
