| Entity Name: | RADIANT DENTAL CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Mar 2024 (a year ago) |
| Document Number: | L24000106799 |
| FEI/EIN Number | 99-1779152 |
| Address: | 4101 NW 4TH ST. STE 111, PLANTATION, FL 33317 |
| Mail Address: | 4445 WEST 16TH AVE STE.200, HIALEAH, FL 33012 |
| ZIP code: | 33317 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760209209 | 2024-09-25 | 2024-09-25 | 4445 W 16TH AVE STE 200, HIALEAH, FL, 330127190, US | 4445 W 16TH AVE STE 501, HIALEAH, FL, 330124695, US | |||||||||||||
|
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| Phone | +1 305-321-3107 |
Authorized person
| Name | DR. JORGE EMILIO VAZQUEZ |
| Role | DENTIST/ OWNER |
| Phone | 3053213107 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CAREVANTAGE MEDICAL HOLDINGS, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| DR. JORGE EMILIO VAZQUEZ DMD PA | Managing Member | 4101 NW 4TH ST STE 211, PLANTATION, FL 33317 |
| Name | Role |
|---|---|
| CAREVANTAGE MEDICAL HOLDINGS, LLC | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-02 | 4101 NW 4TH ST. STE 111, PLANTATION, FL 33317 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-02 | 4101 NW 4TH ST. STE 111, PLANTATION, FL 33317 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-03-05 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
