| Entity Name: | GREENLAKE MANAGEMENT, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Jul 2017 (8 years ago) |
| Document Number: | L17000146741 |
| FEI/EIN Number | 82-2084926 |
| Address: | 10625 N. MILITARY TRL., STE. #201, PALM BEACH GARDENS, FL, 33410 |
| Mail Address: | 8194 SE Old Plantation Circle, Jupiter, FL, 33458, US |
| ZIP code: | 33410 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699294132 | 2017-09-15 | 2022-07-21 | 10625 N MILITARY TRL STE 201, PALM BEACH GARDENS, FL, 334106548, US | 10625 N MILITARY TRL STE 201, PALM BEACH GARDENS, FL, 334106548, US | |||||||||||||||||||||||||||
|
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| Phone | +1 561-366-7303 |
| Fax | 5613667305 |
Authorized person
| Name | DR. JENNIFER LYNN WESTCOTT |
| Role | OWNER |
| Phone | 5613667303 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN19762 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN19072 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| WESTCOTT JENNIFER L | Agent | 10625 N. MILITARY TRL., STE. #201, PALM BEACH GARDENS, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| WESTCOTT JENNIFER L | Manager | 10625 N. MILITARY TRL., STE. #201, PALM BEACH GARDENS, FL, 33410 |
| SONCHAIWANICH CURT P | Manager | 10625 N. MILITARY TRL., STE. #201, PALM BEACH GARDENS, FL, 33410 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000082820 | HOMETOWN DENTISTRY | ACTIVE | 2017-08-02 | 2027-12-31 | No data | 10625 NORTH MILITARY TRAIL, SUITE 201, SUITE 201, PALM BEACH GARDENS, FL, 33410 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-02-02 | 10625 N. MILITARY TRL., STE. #201, PALM BEACH GARDENS, FL 33410 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-01-12 |
| ANNUAL REPORT | 2018-03-19 |
| Florida Limited Liability | 2017-07-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
