| Entity Name: | YANEISY IZQUIERDO DDS, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 12 Jan 2012 (13 years ago) |
| Document Number: | P12000004387 |
| FEI/EIN Number | 45-4300417 |
| Address: | 927 SW 122 AVENUE, MIAMI, FL 33184 |
| Mail Address: | 927 SW 122 AVENUE, MIAMI, FL 33184 |
| ZIP code: | 33184 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962876995 | 2015-11-13 | 2015-11-13 | 927 SW 122ND AVE, MIAMI, FL, 331842477, US | 927 SW 122ND AVE, MIAMI, FL, 331842477, US | |||||||||||||||||
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| Phone | +1 305-559-3870 |
Authorized person
| Name | YANEISY IZQUIERDO |
| Role | DENTIST |
| Phone | 3055593870 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN19502 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| IZQUIERDO, YANEISY | Agent | 927 SW 122 AVENUE, MIAMI, FL 33184 |
| Name | Role | Address |
|---|---|---|
| IZQUIERDO, YANEISY | President | 927 SW 122 AVENUE, MIAMI, FL 33184 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000065173 | SMILE FOR EVER | ACTIVE | 2015-06-23 | 2025-12-31 | No data | 927 SW 122 AVE, MIAMI, FL, 33184 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-19 | 927 SW 122 AVENUE, MIAMI, FL 33184 | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-19 | 927 SW 122 AVENUE, MIAMI, FL 33184 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-19 | 927 SW 122 AVENUE, MIAMI, FL 33184 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-03-18 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-04-13 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-29 |
| ANNUAL REPORT | 2017-04-23 |
| ANNUAL REPORT | 2016-04-19 |
| ANNUAL REPORT | 2015-04-24 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2727747701 | 2020-05-01 | 0455 | PPP | 927 SW 122ND AVE, MIAMI, FL, 33184 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9882638309 | 2021-01-31 | 0455 | PPS | 927 SW 122nd Ave, Miami, FL, 33184-2477 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 22 Feb 2025
Sources: Florida Department of State
