| Entity Name: | OAKTREE DENTISTRY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Feb 2024 (a year ago) |
| Document Number: | L24000103501 |
| Address: | 3221 CONWAY RD, ORLANDO, FL 32812 |
| Mail Address: | 3221 CONWAY RD, ORLANDO, FL 32812 |
| ZIP code: | 32812 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023859063 | 2024-06-04 | 2024-06-04 | 14595 PHILIPS HWY, JACKSONVILLE, FL, 322563709, US | 14595 PHILIPS HWY, JACKSONVILLE, FL, 322563709, US | |||||||||||||||
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| Phone | +1 904-290-8766 |
| Fax | 9042908797 |
Authorized person
| Name | PETER KELLY |
| Role | OWNER |
| Phone | 4074326224 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROBINSON, MATTHEW | Agent | 3221 CONWAY RD, ORLANDO, FL 32812 |
| Name | Role | Address |
|---|---|---|
| KELLY, PETER | Managing Member | 3221 CONWAY RD, ORLANDO, FL 32812 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-02-28 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
