| Entity Name: | RIVER OAKS DENTAL, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Oct 2017 (7 years ago) |
| Document Number: | L17000211942 |
| FEI/EIN Number | 82-3088158 |
| Address: | 6120 SAN JOSE BLVD, JACKSONVILLE, FL, 32217, US |
| Mail Address: | 6120 SAN JOSE BLVD, JACKSONVILLE, FL, 32217, US |
| ZIP code: | 32217 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821509340 | 2017-10-24 | 2017-10-24 | 3026 SAINT JOHNS AVE, JACKSONVILLE, FL, 322059103, US | 6120 SAN JOSE BLVD, JACKSONVILLE, FL, 322172333, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 904-348-0416 |
Authorized person
| Name | DR. RACHEL MONTEIRO |
| Role | DENTIST |
| Phone | 9043480416 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | DN21253 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RIVER OAKS DENTAL PLLC 401(K) PLAN | 2023 | 823088158 | 2024-05-31 | RIVER OAKS DENTAL PLLC | 3 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-05-31 |
| Name of individual signing | RACHEL MONTEIRO |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| FRAZIER W.ROBINSON | Agent | 1515 RIVERSIDE AVE STE A, JACKSONVILLE, FL, 32217 |
| Name | Role | Address |
|---|---|---|
| MONTEIRO RACHEL H | Manager | 6120 SAN JOSE BLVD, JACKSONVILLE, FL, 32217 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-12 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-03-06 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-02-11 |
| ANNUAL REPORT | 2019-01-21 |
| ANNUAL REPORT | 2018-01-14 |
| Florida Limited Liability | 2017-10-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
