| Entity Name: | GENTLE DENTISTS BEACHES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Jun 2018 (7 years ago) |
| Document Number: | L18000138820 |
| FEI/EIN Number | 83-1566438 |
| Mail Address: | 574 Queens Harbor Blvd., Jacksonville, FL 32225 |
| Address: | 3316 S 3RD STREET, #101, JACKSONVILLE BEACH, FL 32250 |
| ZIP code: | 32250 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659855781 | 2018-09-25 | 2018-09-25 | PO BOX 19675, JACKSONVILLE, FL, 322459675, US | 3316 3RD ST S STE 101, JACKSONVILLE BEACH, FL, 322506090, US | |||||||||||||||
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| Phone | +1 904-731-1919 |
| Fax | 9049960018 |
Authorized person
| Name | MRS. CASSANDRA CHESSER |
| Role | CREDENTIALING |
| Phone | 9047165888 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Nadji, Holly B | Agent | 574 Queens Harbor Blvd., Jacksonville, FL 32225 |
| Name | Role | Address |
|---|---|---|
| Nadji, Holly H | Manager | 574 Queens Harbor Blvd., Suite 206 Jacksonville, FL 32225 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000034577 | BEACHES GENTLE DENTISTRY | EXPIRED | 2019-03-14 | 2024-12-31 | No data | 7807 BAYMEADOWS RD, EAST #206, JACKSONVILLE, FL, 32256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-01-09 | 3316 S 3RD STREET, #101, JACKSONVILLE BEACH, FL 32250 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-09 | 574 Queens Harbor Blvd., Jacksonville, FL 32225 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-07-11 | Nadji, Holly B | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-17 |
| ANNUAL REPORT | 2023-02-19 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-01-09 |
| ANNUAL REPORT | 2020-07-11 |
| ANNUAL REPORT | 2019-04-30 |
| Florida Limited Liability | 2018-06-05 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
