| Entity Name: | SMILE CENTER OF DEBARY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Sep 2023 (a year ago) |
| Document Number: | L23000450048 |
| FEI/EIN Number | 93-3763850 |
| Address: | 54 SPRING VISTA DRIVE, DEBARY, FL 32713 |
| Mail Address: | 11063 MOBBERLEY CIRCLE, ORLANDO, FL 32832 |
| ZIP code: | 32713 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306601034 | 2024-02-21 | 2024-02-21 | 54 SPRING VISTA DR, DEBARY, FL, 327133269, US | 54 SPRING VISTA DR, DEBARY, FL, 327133269, US | |||||||||||||||
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| Phone | +1 386-753-0036 |
| Fax | 3867530802 |
Authorized person
| Name | DANIEL JIMENEZ |
| Role | CHIEF OPERATING OFFICER |
| Phone | 4075296814 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MONTIJO, IVAN G | Agent | 11063 MOBBERLEY CIRCLE, ORLANDO, FL 32832 |
| Name | Role | Address |
|---|---|---|
| MONTIJO, IVAN G | Manager | 11063 MOBBERLEY CIRCLE, ORLANDO, FL 32832 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000125398 | FAMILY CARE DENTAL | ACTIVE | 2023-10-10 | 2028-12-31 | No data | 11063 MOBBERLEY CIRCLE, ORLANDO, FL, 32832 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| Florida Limited Liability | 2023-09-28 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
