| Entity Name: | TIMOTHY BRADBERRY DMD, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Jun 2017 (8 years ago) |
| Document Number: | L17000129225 |
| FEI/EIN Number | 82-1866761 |
| Address: | 1566-3 DUNN AVE, JACKSONVILLE, FL 32218 |
| Mail Address: | 2248 Cavalry Blvd, JACKSONVILLE, FL 32246 |
| ZIP code: | 32218 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558194530 | 2024-08-23 | 2024-08-23 | 1566 DUNN AVE # 3, JACKSONVILLE, FL, 322184734, US | 1566 DUNN AVE # 3, JACKSONVILLE, FL, 322184734, US | |||||||||||||||
|
|||||||||||||||||||
| Fax | 9047515330 |
| Phone | +1 904-751-4958 |
Authorized person
| Name | DR. TIMOTHY BRADBERRY |
| Role | DENTIST/OWNER |
| Phone | 9045536474 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Bradberry, Timothy L | Agent | 2258 Cavalry Blvd, JACKSONVILLE, FL 32246 |
| Name | Role | Address |
|---|---|---|
| BRADBERRY, TIMOTHY L | President | 2258 Cavalry Blvd, JACKSONVILLE, FL 32246 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000058095 | NORTH JACKSONVILLE COMPLETE DENTISTRY | ACTIVE | 2021-04-28 | 2026-12-31 | No data | 1566 DUNN AVE., JACKSONVILLE, FL, 32218 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-28 | 1566-3 DUNN AVE, JACKSONVILLE, FL 32218 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-24 | 1566-3 DUNN AVE, JACKSONVILLE, FL 32218 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-06-24 | Bradberry, Timothy L | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-24 | 2258 Cavalry Blvd, JACKSONVILLE, FL 32246 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-12 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-02-20 |
| ANNUAL REPORT | 2021-03-13 |
| ANNUAL REPORT | 2020-06-24 |
| ANNUAL REPORT | 2019-06-22 |
| ANNUAL REPORT | 2018-01-18 |
| Florida Limited Liability | 2017-06-13 |
Date of last update: 18 Feb 2025
Sources: Florida Department of State
