| Entity Name: | PEMBROKE LAKES MALL DENTAL, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 13 Sep 2022 (2 years ago) |
| Document Number: | P22000071372 |
| FEI/EIN Number | 92-0345702 |
| Address: | 11401 PINES BLVD., PEMBROKE PINES, FL 33026 |
| Mail Address: | C/O STOMATCARE DSO, LLC, 333 SE 2ND AVE SUITE 2540, MIAMI, FL 33131 |
| ZIP code: | 33026 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| KRASNOV, ROSTISLAV, DDS | Agent | 333 SE 2ND AVE., SUITE 2520, MIAMI, FL 33131 |
| Name | Role | Address |
|---|---|---|
| KRASNOV, ROSTISLAV, DDS | Director | 333 SE 2ND AVE., SUITE 2520, MIAMI, FL 33131 |
| Name | Role | Address |
|---|---|---|
| KRASNOV, ROSTISLAV, DDS | President | 333 SE 2ND AVE., SUITE 2520, MIAMI, FL 33131 |
| Name | Role | Address |
|---|---|---|
| KRASNOV, ROSTISLAV, DDS | Treasurer | 333 SE 2ND AVE., SUITE 2520, MIAMI, FL 33131 |
| Name | Role | Address |
|---|---|---|
| KRASNOV, ROSTISLAV, DDS | Secretary | 333 SE 2ND AVE., SUITE 2520, MIAMI, FL 33131 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-01-24 |
| Domestic Profit | 2022-09-13 |
Date of last update: 11 Jan 2025
Sources: Florida Department of State
