| Entity Name: | MEGAN MOSHEA D.D.S. LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 May 2018 (7 years ago) |
| Document Number: | L18000108768 |
| FEI/EIN Number | 82-5447648 |
| Address: | 11518 San Jose Blvd, JACKSONVILLE, FL, 32223, US |
| Mail Address: | 11518 San Jose Blvd, JACKSONVILLE, FL, 32223, US |
| ZIP code: | 32223 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386379303 | 2022-07-22 | 2022-07-22 | 11518 SAN JOSE BLVD, JACKSONVILLE, FL, 322237237, US | 11518 SAN JOSE BLVD, JACKSONVILLE, FL, 322237237, US | |||||||||||||||||||
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| Phone | +1 904-268-5600 |
Authorized person
| Name | DR. MEGAN MOSHEA |
| Role | MANAGER |
| Phone | 9042685600 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1336555754 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MOSHEA MEGAN | Agent | 11518 San Jose Blvd, JACKSONVILLE, FL, 32223 |
| Name | Role | Address |
|---|---|---|
| MOSHEA MEGAN | Manager | 11518 San Jose Blvd, JACKSONVILLE, FL, 32223 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000031595 | MANDARIN DENTISTRY | ACTIVE | 2021-03-06 | 2026-12-31 | No data | 3239, RIVERSIDE AVE, JACKSONVILLE, FL, 32205 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-13 | 11518 San Jose Blvd, JACKSONVILLE, FL 32223 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-05 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-01-13 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-01-18 |
| ANNUAL REPORT | 2019-03-18 |
| Florida Limited Liability | 2018-05-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
