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DENTISTS OF KISSIMMEE, PA - Florida Company Profile

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Company Details

Entity Name: DENTISTS OF KISSIMMEE, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 07 Feb 2025 (7 months ago)
Document Number: P25000007171
Mail Address: 17000 RED HILL AVENUE, IRVINE, CA, 92614, US
Address: 2940 N ORANGE BLOSSOM TRL, KISSIMMEE, FL, 34741, US
ZIP code: 34741
City: Kissimmee
County: Osceola
Place of Formation: FLORIDA

Key Officers & Management

Role
Agent

National Provider Identifier

NPI Number:
1124824156
Certification Date:
2025-05-12

Authorized Person:

Name:
KIARA MEJIA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000045967 DENTISTS OF KISSIMMEE ACTIVE 2025-04-03 2030-12-31 - 17000 RED HILL AVENUE, IRVINE, CA, 92614

Events

Event Type Filed Date Value Description
AMENDMENT 2025-07-14 - -

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Date of last update: 01 Aug 2025

Sources: Florida Department of State