| Entity Name: | PRIMARY DENTAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Jul 2015 (10 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 24 Oct 2016 (8 years ago) |
| Document Number: | L15000125207 |
| FEI/EIN Number | 47-4657968 |
| Address: | 1845 East West Parkway, fleming island, FL, 32003, US |
| Mail Address: | 1301 PLANTATION ISLAND DRIVE S., 204, ST. AUGUSTINE, FL, 32080, US |
| ZIP code: | 32003 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841657640 | 2016-01-25 | 2016-01-25 | 1845 EASTWEST PKWY, SUITE 3 & 4, FLEMING ISLAND, FL, 320036405, US | 1845 EASTWEST PKWY, SUITE 3 & 4, FLEMING ISLAND, FL, 320036405, US | |||||||||||||||||||
|
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| Phone | +1 904-278-7308 |
| Fax | 9042640086 |
Authorized person
| Name | STEPHEN STROUT |
| Role | OWNER |
| Phone | 9048062037 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN15749 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Strout Stephen LDr. | Agent | 13302 WINDING OAK COURT, TAMPA, FL, 33612 |
| Name | Role | Address |
|---|---|---|
| STROUT STEPHEN LMGR | Manager | 1301 PLANTATION ISLAND DRIVE S. #204, ST. AUGUSTINE, FL, 32080 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000080261 | FLEMING ISLAND CENTER FOR DENTAL EXCELLENCE | EXPIRED | 2018-07-26 | 2023-12-31 | No data | 1845 EAST WEST PARKWAY #2, FLEMING ISLAND, FL, 32003 |
| G16000012838 | DAN SKAGGS, DDS | EXPIRED | 2016-02-04 | 2021-12-31 | No data | 1845 E. WEST PARKWAY #3, FLEMING ISLAND, FL, 32003 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-22 | 1845 East West Parkway, suite 3, fleming island, FL 32003 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-22 | 1845 East West Parkway, suite 3, fleming island, FL 32003 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-01-22 | Strout, Stephen Lewis, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-22 | 13302 WINDING OAK COURT, A, TAMPA, FL 33612 | No data |
| REINSTATEMENT | 2016-10-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-07-20 |
| ANNUAL REPORT | 2019-02-05 |
| ANNUAL REPORT | 2018-07-02 |
| ANNUAL REPORT | 2017-04-07 |
| REINSTATEMENT | 2016-10-24 |
| Florida Limited Liability | 2015-07-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
