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SIMPLY KIDS DENTISTRY, PA

Company Details

Entity Name: SIMPLY KIDS DENTISTRY, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 28 Aug 2023 (a year ago)
Document Number: P23000062648
FEI/EIN Number 93-3537514
Address: 7651 ASHLEY PARK COURT, SUITE NO. 410C, ORLANDO, FL, 32835
Mail Address: 7651 ASHLEY PARK COURT, Orlando, FL, 32835, US
ZIP code: 32835
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447026067 2023-11-27 2023-11-27 7651 ASHLEY PARK CT STE 410, ORLANDO, FL, 328356114, US 7651 ASHLEY PARK CT STE 410, ORLANDO, FL, 328356114, US

Contacts

Phone +1 407-295-5437

Authorized person

Name DR. JOSHUA CLINE
Role MEMBER
Phone 4074040747

Taxonomy

Taxonomy Code 1223P0221X - Pediatric Dentist
Is Primary Yes

Agent

Name Role Address
CLINE JOSHUA Agent 7651 ASHLEY PARK COURT, ORLANDO, FL, 32835

President

Name Role Address
CLINE JOSHUA President 7651 ASHLEY PARK COURT, SUITE NO. 410C, ORLANDO, FL, 32835

Vice President

Name Role Address
Van Phuong Kim T Vice President 7651 ASHLEY PARK COURT, ORLANDO, FL, 32835

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-04-25 7651 ASHLEY PARK COURT, SUITE NO. 410C, ORLANDO, FL 32835 No data

Documents

Name Date
ANNUAL REPORT 2024-04-25
Domestic Profit 2023-08-28

Date of last update: 03 Feb 2025

Sources: Florida Department of State