| Entity Name: | SMILES TAMPA DENTAL CARE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 07 Jun 2024 (8 months ago) |
| Document Number: | P24000038821 |
| Address: | 5200 NORTH AMERICA, TAMPA, FL, 33603, US |
| Mail Address: | 5200 NORTH AMERICA, TAMPA, FL, 33603, US |
| ZIP code: | 33603 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598500688 | 2024-06-28 | 2024-06-28 | 5200 N ARMENIA AVE, TAMPA, FL, 336031408, US | 5200 N ARMENIA AVE, TAMPA, FL, 336031408, US | |||||||||||||||
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| Phone | +1 813-333-9992 |
| Fax | 8135159158 |
Authorized person
| Name | KARIM REVOREDO |
| Role | DENTIST/MANAGER |
| Phone | 7865879930 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REVOREDO KARIM P | Agent | 1425 MILAN AVE, CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| REVOREDO KARIM | President | 1425 MILAN AVE, CORAL GABLES, FL, 33134 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-06-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
