| Entity Name: | SANDY ROSENBERG, DMD, PL |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 30 Dec 2013 (11 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L13000178353 |
| FEI/EIN Number | 46-4390337 |
| Address: | 3751 Waterside Dr, ORANGE PARK, FL, 32073, US |
| Mail Address: | 3751 Waterside Dr, ORANGE PARK, FL, 32073, US |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497120612 | 2015-12-14 | 2015-12-14 | 1725 VILLAGE WAY, ORANGE PARK, FL, 320735263, US | 1725 VILLAGE WAY, ORANGE PARK, FL, 320735263, US | |||||||||||||||||||||||||
|
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| Phone | +1 904-265-6500 |
| Fax | 9042640995 |
Authorized person
| Name | DR. SANFORD R ROSENBERG |
| Role | DENTIST/OWNER |
| Phone | 9042646500 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 6981 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | UNITED CONCORDIA |
| Number | 622498 |
| State | FL |
| Name | Role |
|---|---|
| SANDY ROSENBERG, DMD, PL | Agent |
| Name | Role | Address |
|---|---|---|
| ROSENBERG SANFORD R | Managing Member | 3751 Waterside Dr, ORANGE PARK, FL, 32073 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-12 | 3751 Waterside Dr, ORANGE PARK, FL 32073 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-12 | 3751 Waterside Dr, ORANGE PARK, FL 32073 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-12 | 3751 Waterside Dr, ORANGE PARK, FL 32073 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-07-10 | SANDY ROSENBERG DMD PL | No data |
| REINSTATEMENT | 2018-07-10 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-01-12 |
| ANNUAL REPORT | 2022-01-05 |
| ANNUAL REPORT | 2021-03-13 |
| ANNUAL REPORT | 2020-07-20 |
| ANNUAL REPORT | 2019-01-02 |
| REINSTATEMENT | 2018-07-10 |
| ANNUAL REPORT | 2016-04-20 |
| ANNUAL REPORT | 2015-02-12 |
| Florida Limited Liability | 2013-12-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
