| Entity Name: | GERMAN FAMILY DENTISTRY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Jun 2024 (8 months ago) |
| Document Number: | L24000292151 |
| Address: | 809 HWY 466, SUITE C102, LADY LAKE, FL 32159 |
| Mail Address: | 13979 NW 30TH AVE, GAINESVILLE, FL 32606 |
| ZIP code: | 32159 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447096334 | 2024-07-01 | 2024-08-05 | 13979 NW 30TH AVE, GAINESVILLE, FL, 326069311, US | 809 HIGHWAY 466 STE C102, LADY LAKE, FL, 321593909, US | |||||||||||||||
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| Phone | +1 352-284-9045 |
| Phone | +1 352-336-8478 |
Authorized person
| Name | DR. IGOR GERMAN |
| Role | MBR |
| Phone | 3522849045 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GERMAN, IGOR | Agent | 13979 NW 30TH AVE, GAINESVILLE, FL 32606 |
| Name | Role | Address |
|---|---|---|
| GERMAN, IGOR | Authorized Member | 13979 NW 30TH AVE, GAINESVILLE, FL 32606 |
| GERMAN, JULIA | Authorized Member | 13979 NW 30TH AVE, GAINESVILLE, FL 32606 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000084902 | 352 DENTIST | ACTIVE | 2024-07-16 | 2029-12-31 | No data | 809 HWY 466, STE C-102, LADY LAKE, FL, 32159 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-06-28 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
