| Entity Name: | BROWARD PERIODONTICS AND IMPLANT DENTISTRY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Dec 2023 (a year ago) |
| Document Number: | L23000547704 |
| FEI/EIN Number | 93-4950238 |
| Mail Address: | 7901 SW 6TH CT, PLANTATION, FL, 33324, US |
| Address: | 4350 SHERIDAN ST, STE 201D, HOLLYWOOD, FL, 33021, US |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568227098 | 2024-02-14 | 2024-02-14 | 7901 SW 6TH CT STE 100, PLANTATION, FL, 333243248, US | 4350 SHERIDAN ST STE 201D, HOLLYWOOD, FL, 330213556, US | |||||||||||||||||
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| Phone | +1 954-581-5922 |
| Phone | +1 954-981-0012 |
| Fax | 9549869966 |
Authorized person
| Name | MRS. KATIA FRIEDMAN |
| Role | OWNER |
| Phone | 3053338211 |
Taxonomy
| Taxonomy Code | 1223P0300X - Periodontist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TOBIN, REYES, ALVAREZ & DE BIASE, PLLC | Agent | 225 NE MIZNER BLVD., STE 510, BOCA RATON, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| FRIEDMAN ELI DMD | Manager | 7901 SW 6TH CT., STE 100, PLANTATION, FL, 33324 |
| FRIEDMAN KATIA DMD | Manager | 7901 SW 6TH CT., STE 100, PLANTATION, FL, 33324 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-01-19 | 4350 SHERIDAN ST, STE 201D, HOLLYWOOD, FL 33021 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-22 |
| Florida Limited Liability | 2023-12-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
