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PENSACOLA EDC MANAGEMENT LLC

Company Details

Entity Name: PENSACOLA EDC MANAGEMENT LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 24 Jul 2024 (6 months ago)
Document Number: L24000327846
Mail Address: PO BOX 1740, BELLEVUE, NE, 68005, US
Address: 3101 W MICHIGAN AVE, PENSACOLA, FL, 32526, US
ZIP code: 32526
County: Escambia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225850993 2024-10-24 2024-10-24 PO BOX 1740, BELLEVUE, NE, 680051740, US 3101 W MICHIGAN AVE STE E, PENSACOLA, FL, 325261876, US

Contacts

Phone +1 402-658-4687
Phone +1 850-792-1841

Authorized person

Name MICHAEL OBENG
Role OWNER
Phone 4029814136

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role
INCORP SERVICES, INC. Agent

Authorized Member

Name Role Address
OBENG MICHAEL Authorized Member 3400 W GULF DRIVE, SANIBEL, FL, 33957

Authorized Representative

Name Role Address
AMEN VICKY Authorized Representative 3420 CAPE CHARLES RD W, LINCOLN, NE, 68516

Documents

Name Date
Florida Limited Liability 2024-07-24

Date of last update: 02 Feb 2025

Sources: Florida Department of State