| Entity Name: | IMPLANTATION DENTISTRY OF BROWARD INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 Jan 2023 (2 years ago) |
| Document Number: | P23000003258 |
| FEI/EIN Number | 92-1641918 |
| Address: | 4230 W BROWARD BLVD, PLANTATION, FL, 33317, US |
| Mail Address: | 4230 W BROWARD BLVD, PLANTATION, FL, 33317, US |
| ZIP code: | 33317 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235830910 | 2023-03-10 | 2023-03-10 | 4230 W BROWARD BLVD, PLANTATION, FL, 333173704, US | 4230 W BROWARD BLVD, PLANTATION, FL, 333173704, US | |||||||||||||
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| Phone | +1 754-216-4052 |
Authorized person
| Name | EHAB SAMEER MUSHARBASH |
| Role | OWNER |
| Phone | 7542164052 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MUSHARBASH EHAB S | Agent | 4230 W BROWARD BLVD, PLANTATION, FL, 33317 |
| Name | Role | Address |
|---|---|---|
| MUSHARBASH EHAB S | President | 4230 W BROWARD BLVD, PLANTATION, FL, 33317 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| Domestic Profit | 2023-01-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
