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 | |||||||||||||
|
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