Search icon

ELITEDENT PB LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
CORREA, JACQUELINE Agent 10321 SW 140TH ST MIAMI FL 33176, MIAMI, FL 33176

Manager

Name Role Address
CORREA, JACQUELINE Manager 10321 SW 140TH ST MIAMI FL 33176, MIAMI, FL 33176 UN

Documents

Name Date
Florida Limited Liability 2024-08-07

Date of last update: 07 Feb 2025

Sources: Florida Department of State