| Entity Name: | PSL DENTAL MANAGEMENT COMPANY PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Jan 2024 (a year ago) |
| Document Number: | L24000024776 |
| Address: | 1449 NW ST LUCIE WEST BLVD, PORT ST LUCIE, FL 34986 |
| Mail Address: | 1449 NW ST LUCIE WEST BLVD, PORT ST LUCIE, FL 34986 |
| ZIP code: | 34986 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245082247 | 2024-04-03 | 2024-05-08 | 1449 NW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL, 349861968, US | 1449 NW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL, 349861968, US | |||||||||||||
|
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| Phone | +1 772-348-4409 |
Authorized person
| Name | SABLE BETHEL |
| Role | MANAGER OF OPERATIONS |
| Phone | 7722510886 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GANKIN, MIKHAIL | Agent | 1449 NW ST LUCIE WEST BLVD, PORT ST LUCIE, FL 34986 |
| Name | Role | Address |
|---|---|---|
| GANKIN, MIKHAIL | Manager | 1465 NW ST LUCIE W BLVD, PORT ST LUCIE, FL 34986 |
| AZARI, SCOTT | Manager | 1449 NW ST LUCIE W BLVD, PORT ST LUCIE, FL 34986 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-01-11 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
