| Entity Name: | KENDALL ISMILE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Jul 2024 (6 months ago) |
| Document Number: | L24000322468 |
| Address: | 11500 NW 7TH AVE, MIAMI, FL, 33168 |
| Mail Address: | 11500 NW 7TH AVE, MIAMI, FL, 33168 |
| ZIP code: | 33168 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245050988 | 2024-10-16 | 2024-10-16 | 6670 SW 117TH AVE, MIAMI, FL, 331832826, US | 6670 SW 117TH AVE, MIAMI, FL, 331832826, US | |||||||||||||
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| Phone | +1 305-766-5238 |
Authorized person
| Name | SHEILA RONQUILLO |
| Role | OFFICE MANAGER |
| Phone | 7863905716 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JEAN GLAUDE PRINSTON | Agent | 11500 NW 7TH AVE, MIAMI, FL, 33168 |
| Name | Role | Address |
|---|---|---|
| PESATURO ANA | President | 11500 NW 7TH AVE, MIAMI, FL, 33168 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-07-22 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
