| Entity Name: | LAUDERDALE ISMILE, CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 29 Feb 2024 (a year ago) |
| Document Number: | P24000015893 |
| Address: | 4624 GRANT STREET, HOLLYWOOD, FL, 33021, US |
| Mail Address: | 4624 GRANT STREET, HOLLYWOOD, FL, 33021, US |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487411435 | 2024-03-05 | 2024-03-05 | 2412 N STATE ROAD 7, LAUDERDALE LAKES, FL, 333133724, US | 2412 N STATE ROAD 7, LAUDERDALE LAKES, FL, 333133724, US | |||||||||||||||||||
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| Phone | +1 954-281-7405 |
| Fax | 9542817572 |
Authorized person
| Name | SHEILA RONQUILLO |
| Role | OFFICE MANAGER |
| Phone | 7863905716 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GONZALEZ CINDY M | Agent | 4624 GRANT STREET, HOLLYWOOD, FL, 33021 |
| Name | Role | Address |
|---|---|---|
| KIANI KAMRAN | President | 4624 GRANT STREET, HOLLYWOOD, FL, 33021 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-02-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
