| Entity Name: | SMILE OASIS AT SANFORD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 15 Jul 2024 (7 months ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 11 Sep 2024 (5 months ago) |
| Document Number: | P24000046944 |
| Address: | 5030 W STATE RD 46 STE 1018, SANFORD, FL 32771 |
| Mail Address: | 320 N MAITLAND AVE, MAITLAND, FL 32751 |
| ZIP code: | 32771 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760209118 | 2024-09-25 | 2024-09-25 | 5030 W STATE ROAD 46 STE 1018, SANFORD, FL, 327719247, US | 5030 W STATE ROAD 46 STE 1018, SANFORD, FL, 327719247, US | |||||||||||||
|
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| Phone | +1 407-792-0226 |
Authorized person
| Name | JACQUELINE PIERRE |
| Role | DENTIST OWNER |
| Phone | 9172027676 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PIERRE, JACQUELINE | Agent | 320 N MAITLAND AVE, MAITLAND, FL 32751 |
| Name | Role | Address |
|---|---|---|
| PIERRE, JACQUELINE | President | 320 N MAITLAND AVE SUITE A, MAITLAND, FL 32751 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-17 | 5030 W STATE RD 46 STE 1018, SANFORD, FL 32771 | No data |
| NAME CHANGE AMENDMENT | 2024-09-11 | SMILE OASIS AT SANFORD PA | No data |
| Name | Date |
|---|---|
| Name Change | 2024-09-11 |
| Domestic Profit | 2024-07-15 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
