| Entity Name: | COSMETIC DENTAL OPERATIONS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Jun 2024 (8 months ago) |
| Document Number: | L24000260044 |
| Address: | 9332 BALM RIVERVIEW ROAD, RIVERVIEW, FL, 33569, US |
| Mail Address: | 9332 BALM RIVERVIEW ROAD, RIVERVIEW, FL, 33569, US |
| ZIP code: | 33569 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841020138 | 2024-08-02 | 2024-08-02 | 9332 BALM RIVERVIEW RD, RIVERVIEW, FL, 335695104, US | 4001 16TH ST N, ST PETERSBURG, FL, 337035605, US | |||||||||||||||
|
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| Phone | +1 813-677-1177 |
| Phone | +1 727-527-2000 |
Authorized person
| Name | DR. DEREK ESPINO |
| Role | OWNER |
| Phone | 8132955268 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| ESPINO DEREK RDMD | Authorized Member | 9332 BALM RIVERVIEW ROAD, RIVERVIEW, FL, 33569 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000092293 | SMI DENTAL | ACTIVE | 2024-08-02 | 2029-12-31 | No data | 9332 BALM RIVERVIEW RD, RIVERVIEW, FL, 33569 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-06-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
