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THE SMILE MISSION CENTRAL ORLANDO PLLC

Company Details

Entity Name: THE SMILE MISSION CENTRAL ORLANDO PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Jul 2023 (2 years ago)
Document Number: L23000343154
FEI/EIN Number 93-2887918
Mail Address: 9900 SW 168TH ST, MIAMI, FL, 33157, US
Address: 5700 N ORANGE BLOSSOM TRAIL, SUITE 270, ORLANDO, FL, 32810, US
ZIP code: 32810
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508641895 2023-08-28 2023-08-28 9900 SW 168TH ST, MIAMI, FL, 331574378, US 5700 N ORANGE BLOSSOM TRL STE 270, ORLANDO, FL, 328101023, US

Contacts

Phone +1 786-701-8246

Authorized person

Name DUSTIN PFUNDHELLER
Role MANAGER
Phone 7867018246

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Agent

Name Role Address
PFUNDHELLER DUSTIN M Agent 9900 SW 168TH ST, MIAMI, FL, 33157

Manager

Name Role Address
PFUNDHELLER DUSTIN M Manager 9900 SW 168TH ST, MIAMI, FL, 33157

Documents

Name Date
ANNUAL REPORT 2024-01-30
Florida Limited Liability 2023-07-20

Date of last update: 02 Feb 2025

Sources: Florida Department of State