| Entity Name: | LAVIN FAMILY DENTAL PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 21 May 2024 (8 months ago) |
| Document Number: | L24000236228 |
| Address: | 19305 NEARPOINT DRIVE, VENICE, FL 34292 |
| Mail Address: | 19305 NEARPOINT DRIVE, VENICE, FL 34292 |
| ZIP code: | 34292 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023831161 | 2024-11-06 | 2024-11-06 | 19305 NEARPOINT DR, VENICE, FL, 342923700, US | 1531 TAMIAMI TRL S STE 701, VENICE, FL, 342855575, US | |||||||||||||||||
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| Phone | +1 856-456-7467 |
| Phone | +1 941-441-9295 |
| Fax | 9414419294 |
Authorized person
| Name | DR. JENNA LAVIN |
| Role | DENTIST |
| Phone | 8564657467 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LAVIN, JENNA | Agent | 19305 NEARPOINT DRIVE, VENICE, FL 34292 |
| Name | Role | Address |
|---|---|---|
| LAVIN, JENNA | Authorized Member | 19305 NEARPOINT DRIVE, VENICE, FL 34292 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-05-21 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
