| Entity Name: | ELITEDENT PB LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Aug 2024 (6 months ago) |
| Document Number: | L24000346734 |
| Address: | 16935 SOUTH DIXIE HIGHWAY, MIAMI, FL 33157 UN |
| Mail Address: | 10321 SW 140TH ST MIAMI FL 33176, MIAMI, FL 33176 UN |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205655347 | 2024-10-07 | 2024-10-07 | 16935 S DIXIE HWY, PALMETTO BAY, FL, 331574361, US | 16935 S DIXIE HWY, PALMETTO BAY, FL, 331574361, US | |||||||||||||
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| Phone | +1 305-646-6700 |
Authorized person
| Name | DR. JACQUELINE CORREA |
| Role | PRESIDENT |
| Phone | 7863515050 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CORREA, JACQUELINE | Agent | 10321 SW 140TH ST MIAMI FL 33176, MIAMI, FL 33176 |
| Name | Role | Address |
|---|---|---|
| CORREA, JACQUELINE | Manager | 10321 SW 140TH ST MIAMI FL 33176, MIAMI, FL 33176 UN |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-08-07 |
Date of last update: 07 Feb 2025
Sources: Florida Department of State
