| Entity Name: | PERFECT SMILES OF SOUTH FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Sep 2024 (4 months ago) |
| Document Number: | L24000419479 |
| Address: | 5481 N. UNIVERSITY DRIVE, SUITE 103, CORAL SPRINGS, FL 33067 |
| Mail Address: | 5442 NW 80TH TERRACE, PARKLAND, FL 33067 |
| ZIP code: | 33067 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225857519 | 2024-10-04 | 2024-10-04 | 5442 NW 80TH TER, PARKLAND, FL, 330671168, US | 5481 N UNIVERSITY DR STE 103A, CORAL SPRINGS, FL, 330674643, US | |||||||||||||
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| Phone | +1 954-609-5681 |
Authorized person
| Name | ANDREW SEGELNICK |
| Role | OWNER |
| Phone | 9546095681 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SEGELNICK, ANDREW | Agent | 5442 NW 80TH TERRACE, PARKLAND, FL 33067 |
| Name | Role | Address |
|---|---|---|
| SEGELNICK, ANDREW | Manager | 5442 NW 80TH TERRACE, CORAL SPRINGS, FL 33067 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-09-26 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State
