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M DENTAL SMILE PA

Company Details

Entity Name: M DENTAL SMILE PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 28 Nov 2022 (2 years ago)
Document Number: P22000088535
FEI/EIN Number 92-1271719
Address: 14040 DANPARK LOOP, FORT MYERS, FL 33912
Mail Address: 14040 DANPARK LOOP, FORT MYERS, FL 33912
ZIP code: 33912
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578278412 2023-01-16 2023-01-16 14040 DANPARK LOOP, FORT MYERS, FL, 339126864, US 7740 PRESERVE LN STE 11, NAPLES, FL, 341199710, US

Contacts

Phone +1 786-831-7749

Authorized person

Name DR. MARIANELA MARTINEZ HERNANDEZ
Role DENTIST
Phone 7868317749

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes

Agent

Name Role Address
MARTINEZ HERNANDEZ, MARIANELA, DR. Agent 14040 DANPARK LOOP, FORT MYERS, FL 33912

President

Name Role Address
MARTINEZ HERNANDEZ, MARIANELA President 14040 DANPARK LOOP, FORT MYERS, FL 33912

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-04-29 MARTINEZ HERNANDEZ, MARIANELA, DR. No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-29 14040 DANPARK LOOP, FORT MYERS, FL 33912 No data

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-18
Domestic Profit 2022-11-28

Date of last update: 11 Feb 2025

Sources: Florida Department of State