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ADVANCED DENTAL CARE (JACKSONVILLE SOUTH), PLLC - Florida Company Profile

Company Details

Entity Name: ADVANCED DENTAL CARE (JACKSONVILLE SOUTH), PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

ADVANCED DENTAL CARE (JACKSONVILLE SOUTH), PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 16 May 2016 (9 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 23 Apr 2024 (a year ago)
Document Number: L16000095027
FEI/EIN Number 81-2626579

Federal Employer Identification (FEI) Number assigned by the IRS.

Mail Address: 6240 LAKE OSPREY DRIVE, SARASOTA, FL, 34240
Address: 3667 CROWN POINT ROAD, JACKSONVILLE, FL, 32257
ZIP code: 32257
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619326477 2016-06-11 2016-06-11 13195 SW 134TH ST, MIAMI, FL, 331864461, US 3667 CROWN POINT RD, JACKSONVILLE, FL, 322575956, US

Contacts

Phone +1 305-274-2499

Authorized person

Name MS. STEPHANIE GOMEZ
Role CREDENTIALING COORDINATOR
Phone 3052742499

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Key Officers & Management

Name Role Address
C T CORPORATION SYSTEM Agent -
GALLO DONALD Director 6240 LAKE OSPREY DRIVE, SARASOTA, FL, 34240
CARDOUNEL ALEX Director 6240 LAKE OSPREY DRIVE, SARASOTA, FL, 34240

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000060693 ADVANCED DENTAL CARE OF MANDARIN EXPIRED 2016-06-20 2021-12-31 - 6240 LAKE OSPREY DRIVE, SARASOTA, FL, 34240

Events

Event Type Filed Date Value Description
LC STMNT OF RA/RO CHG 2024-04-23 - -
REGISTERED AGENT NAME CHANGED 2024-04-23 C T CORPORATION SYSTEM -
REGISTERED AGENT ADDRESS CHANGED 2024-04-23 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 -

Documents

Name Date
ANNUAL REPORT 2024-07-24
CORLCRACHG 2024-04-23
ANNUAL REPORT 2023-01-20
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-06-29
ANNUAL REPORT 2019-04-19
ANNUAL REPORT 2018-04-24
ANNUAL REPORT 2017-04-05
Florida Limited Liability 2016-05-16

Date of last update: 02 Mar 2025

Sources: Florida Department of State