| Entity Name: | BERRY DENTAL PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 31 Jul 2023 (2 years ago) |
| Document Number: | L23000360275 |
| FEI/EIN Number | 93-2685601 |
| Address: | 9544 ROYAL ESTATES BLVD., ORLANDO, FL 32836 |
| Mail Address: | 9544 ROYAL ESTATES BLVD., ORLANDO, FL 32836 |
| ZIP code: | 32836 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346016250 | 2023-12-01 | 2024-04-01 | 9544 ROYAL ESTATES BLVD, ORLANDO, FL, 328368896, US | 2522 JACKS ROAD, UNIT #2A, DAVENPORT, FL, 33897, US | |||||||||||||||||
|
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| Phone | +1 305-910-6975 |
Authorized person
| Name | DR. JULIANA CORREAL |
| Role | GENERAL DENTIST |
| Phone | 3059106975 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CORREAL, JULIANA | Agent | 9544 ROYAL ESTATES BLVD., ORLANDO, FL 32836 |
| Name | Role | Address |
|---|---|---|
| CORREAL, JULIANA | Authorized Member | 9544 ROYAL ESTATES BLVD., ORLANDO, FL 32836 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000156197 | VIVA DENTAL STUDIO | ACTIVE | 2024-12-26 | 2029-12-31 | No data | 2522 JACKS RD., UNIT#2A, DAVENPORT, FL, 33897 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-06 |
| ANNUAL REPORT | 2024-02-17 |
| Florida Limited Liability | 2023-07-31 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
