| Entity Name: | BRILLIANT SMILES FAMILY DENTAL PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 20 Oct 2022 (2 years ago) |
| Document Number: | P22000080464 |
| FEI/EIN Number | 92-0769050 |
| Address: | 2100 LAKE IDA ROAD, SUITE 2A, DELRAY BEACH, FL 33445 |
| Mail Address: | 2100 LAKE IDA ROAD, SUITE 2A, DELRAY BEACH, FL 33445 |
| ZIP code: | 33445 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568179232 | 2022-11-02 | 2022-11-02 | 2889 S GREENLEAF CIR, BOYNTON BEACH, FL, 334268661, US | 2100 LAKE IDA RD STE 2A, DELRAY BEACH, FL, 334452442, US | |||||||||||||
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| Phone | +1 561-272-2131 |
Authorized person
| Name | PAMELA OLIVEIRA BRANDAO |
| Role | DENTIST |
| Phone | 5612130958 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BRANDAO, PAMELA | Agent | 2100 LAKE IDA ROAD, SUITE 2A, DELRAY BEACH, FL 33445 |
| Name | Role | Address |
|---|---|---|
| BRANDAO, PAMELA | President | 2100 LAKE IDA ROAD, SUITE 2A, DELRAY BEACH, FL 33445 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-27 |
| ANNUAL REPORT | 2024-01-18 |
| ANNUAL REPORT | 2023-01-09 |
| Domestic Profit | 2022-10-20 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
