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YACIEL F. FERRERA, DMD PLLC

Company Details

Entity Name: YACIEL F. FERRERA, DMD PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Jul 2023 (2 years ago)
Document Number: L23000343755
FEI/EIN Number 93-2550821
Address: 295 S. PLUMOSA DR., MERRIT ISLAND, FL, 32952, US
Mail Address: 295 S. PLUMOSA DR., MERRIT ISLAND, FL, 32952, US
ZIP code: 32952
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710760467 2023-08-16 2023-08-16 295 S PLUMOSA ST, MERRITT ISLAND, FL, 329523525, US 295 S PLUMOSA ST, MERRITT ISLAND, FL, 329523525, US

Contacts

Phone +1 321-452-6000
Fax 3214538823

Authorized person

Name DR. YACIEL F FERRERA
Role OWNER/PRESIDENT
Phone 4077446568

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role Address
FERRERA YACIEL F Agent 295 S. PLUMOSA DR., MERRIT ISLAND, FL, 32952

Manager

Name Role Address
FERRERA YACIEL F Manager 295 S. PLUMOSA DR, MERRITT ISLAND, FL, 32952

Documents

Name Date
ANNUAL REPORT 2024-03-17
Florida Limited Liability 2023-07-20

Date of last update: 02 Feb 2025

Sources: Florida Department of State