| Entity Name: | DENTAL SUMMIT PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Nov 2017 (7 years ago) |
| Document Number: | L17000235182 |
| FEI/EIN Number | 82-3426522 |
| Address: | 324 3RD AVENUE NORTH, JACKSONVILLE BEACH, FL, 32250, US |
| Mail Address: | 324 3RD AVENUE NORTH, JACKSONVILLE BEACH, FL, 32250, US |
| ZIP code: | 32250 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588172571 | 2018-01-12 | 2018-01-12 | 324 3RD AVE N, JACKSONVILLE BEACH, FL, 322505602, US | 324 3RD AVE N, JACKSONVILLE BEACH, FL, 322505602, US | |||||||||||||||||
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| Phone | +1 904-246-6714 |
Authorized person
| Name | NODESH BANGALORE SHYAMSUNDER |
| Role | PRESIDENT |
| Phone | 9042466714 |
Taxonomy
| Taxonomy Code | 1223P0700X - Prosthodontist |
| License Number | DN20907 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PASTOR & GOLBOIS, CPAS PA | Agent | 8198 S JOG RD, BOYNTON BEACH, FL, 33426 |
| Name | Role | Address |
|---|---|---|
| SHYAMSUNDER NODESH B | Manager | 2560 KARATAS COURT, JACKSONVILLE, FL, 32246 |
| Name | Role | Address |
|---|---|---|
| RAINA JASLEEN | Vice President | 2560 KARATAS COURT, JACKSONVILLE, FL, 32246 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000112726 | BEACHES DENTISTRY | ACTIVE | 2019-10-16 | 2029-12-31 | No data | 324 3RD AVENUE NORTH, JACKSONVILLE BEACH, FL, 32250 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-03-01 | 324 3RD AVENUE NORTH, JACKSONVILLE BEACH, FL 32250 | No data |
| CHANGE OF MAILING ADDRESS | 2025-03-01 | 324 3RD AVENUE NORTH, JACKSONVILLE BEACH, FL 32250 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-25 | 8198 S JOG RD, STE 103, BOYNTON BEACH, FL 33426 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-30 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-03-20 |
| AMENDED ANNUAL REPORT | 2020-11-30 |
| ANNUAL REPORT | 2020-02-10 |
| ANNUAL REPORT | 2019-02-05 |
| ANNUAL REPORT | 2018-03-08 |
| Florida Limited Liability | 2017-11-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
