| Entity Name: | GD FL COVE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Apr 2024 (10 months ago) |
| Document Number: | L24000171607 |
| Address: | 5803 NW 151ST ST STE 201, MIAMI LAKES, FL 33014 |
| Mail Address: | 5803 NW 151ST ST STE 201, MIAMI LAKES, FL 33014 |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164276010 | 2024-04-16 | 2024-04-16 | 406 N COVE BLVD, PANAMA CITY, FL, 324013726, US | 406 N COVE BLVD, PANAMA CITY, FL, 324013726, US | |||||||||||||
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| Phone | +1 850-769-1710 |
Authorized person
| Name | CHAD HENDRICKS |
| Role | CREDENTIALING |
| Phone | 6128590444 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CAPITOL CORPORATE SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| MOLINA, ANTONIO | Authorized Member | 5803 NW 151ST ST STE 201, MIAMI LAKES, FL 33014 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-04-11 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
