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LILIAM HERNANDEZ, DMD, PA

Company Details

Entity Name: LILIAM HERNANDEZ, DMD, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 11 Jan 2016 (9 years ago)
Document Number: P16000003581
FEI/EIN Number 81-1149236
Address: 1261 Coral Way, Coral Gables, FL, 33134, US
Mail Address: 1261 Coral Way, Coral Gables, FL, 33134, US
ZIP code: 33134
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1063879641 2016-01-27 2016-01-27 18253 SW 5TH ST, PEMBROKE PINES, FL, 330294310, US 18253 SW 5TH ST, PEMBROKE PINES, FL, 330294310, US

Contacts

Phone +1 786-378-9988

Authorized person

Name DR. LILIAM HERNANDEZ
Role PRESIDENT
Phone 7863789988

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number 21643
State FL
Is Primary Yes

Agent

Name Role Address
HERNANDEZ LILIAM Agent 1261 Coral Way, Coral Gables, FL, 33134

President

Name Role Address
HERNANDEZ LILIAM President 1261 Coral Way, Coral Gables, FL, 33134

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-09 1261 Coral Way, Coral Gables, FL 33134 No data
CHANGE OF MAILING ADDRESS 2024-01-09 1261 Coral Way, Coral Gables, FL 33134 No data
REGISTERED AGENT ADDRESS CHANGED 2024-01-09 1261 Coral Way, Coral Gables, FL 33134 No data

Documents

Name Date
ANNUAL REPORT 2025-01-06
ANNUAL REPORT 2024-01-09
ANNUAL REPORT 2023-01-03
ANNUAL REPORT 2022-01-02
ANNUAL REPORT 2021-01-05
ANNUAL REPORT 2020-01-02
ANNUAL REPORT 2019-02-02
ANNUAL REPORT 2018-01-02
ANNUAL REPORT 2017-01-09
Domestic Profit 2016-01-11

Date of last update: 01 Feb 2025

Sources: Florida Department of State