Entity Name: | MARTIN KIDS DENTAL HEALTH TEAM OF LAKE CITY, PLLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 23 Jan 2014 (11 years ago) |
Document Number: | L14000012899 |
FEI/EIN Number | 46-4604246 |
Address: | 973 SW State Road 47, Lake City, FL 32025 |
Mail Address: | 973 SW State Road 47, Lake City, FL 32025 |
ZIP code: | 32025 |
County: | Columbia |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1538583802 | 2014-02-07 | 2014-02-07 | 875 SW STATE ROAD 47, LAKE CITY, FL, 320250433, US | 875 SW STATE ROAD 47, LAKE CITY, FL, 320250433, US | |||||||||||||||||
|
Phone | +1 386-752-8200 |
Authorized person
Name | DR. CELIA S MARTIN |
Role | OWNER |
Phone | 3867528200 |
Taxonomy
Taxonomy Code | 1223P0221X - Pediatric Dentist |
License Number | DN19462 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
MARTIN, CELIA S | Agent | 973 SW State Road 47, Lake City, FL 32025 |
Name | Role | Address |
---|---|---|
MARTIN, CELIA S | Manager | 973 SW State Road 47, Lake City, FL 32025 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2021-01-11 | 973 SW State Road 47, Lake City, FL 32025 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2019-03-07 | 973 SW State Road 47, Lake City, FL 32025 | No data |
CHANGE OF MAILING ADDRESS | 2019-03-07 | 973 SW State Road 47, Lake City, FL 32025 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-29 |
ANNUAL REPORT | 2023-02-20 |
ANNUAL REPORT | 2022-01-20 |
ANNUAL REPORT | 2021-01-11 |
ANNUAL REPORT | 2020-01-14 |
ANNUAL REPORT | 2019-03-07 |
ANNUAL REPORT | 2018-02-06 |
ANNUAL REPORT | 2017-02-10 |
ANNUAL REPORT | 2016-03-15 |
ANNUAL REPORT | 2015-02-25 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State