| Entity Name: | JAMAL LAKHANI DENTAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 10 Aug 2023 (2 years ago) |
| Document Number: | L23000375513 |
| FEI/EIN Number | 93-2828791 |
| Address: | 9072 GREAT HERON CIRCLE, ORLANDO, FL 32836 |
| Mail Address: | 9072 GREAT HERON CIRCLE, ORLANDO, FL 32836 |
| ZIP code: | 32836 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083491922 | 2023-09-13 | 2023-09-14 | PO BOX 70887, CLEVELAND, OH, 441900887, US | 35648 US HWY 27 N, HAINES CITY, FL, 338443731, US | |||||||||||||
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| Phone | +1 863-353-3093 |
Authorized person
| Name | MICHELLE JACOMINO-BARNES |
| Role | DIRECTOR CREDENTIALING & ENROLLMENT |
| Phone | 8132709497 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LAKHANI, JUNAID | Agent | 9072 GREAT HERON CIRCLE, ORLANDO, FL 32836 |
| Name | Role | Address |
|---|---|---|
| LAKHANI, JUNAID | Manager | 9072 GREAT HERON CIRCLE, ORLANDO, FL 32836 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000010488 | ASPEN DENTAL | ACTIVE | 2024-01-18 | 2029-12-31 | No data | 281 SANDERS CREEK PARKWAY, EAST SYRACUSE, NY, 13057 |
| G23000111837 | ASPEN DENTAL | ACTIVE | 2023-09-12 | 2028-12-31 | No data | 281 SANDERS CREEK PARKWAY, EAST SYRACUSE, NY, 13057 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-29 |
| ANNUAL REPORT | 2024-03-27 |
| Florida Limited Liability | 2023-08-10 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
