| Entity Name: | ARGYLE DENTAL, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 12 Jul 2018 (7 years ago) |
| Document Number: | L18000168342 |
| FEI/EIN Number | 83-1210760 |
| Mail Address: | 6240 LAKE OSPREY DRIVE, SARASOTA, FL 34240 |
| Address: | 6001 ARGYLE FOREST BOULEVARD, SUITE 4, JACKSONVILLE, FL 32244 |
| ZIP code: | 32244 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447738620 | 2018-07-31 | 2018-07-31 | 6001 ARGYLE FOREST BLVD STE 4, JACKSONVILLE, FL, 322446127, US | 6001 ARGYLE FOREST BLVD STE 4, JACKSONVILLE, FL, 322446127, US | |||||||||||||
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| Phone | +1 904-771-6838 |
Authorized person
| Name | STEPHANIE GOMEZ |
| Role | CREDENTIALING SUPERVISOR |
| Phone | 3052742499 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALLEN, RUSSELL | Agent | 6240 LAKE OSPREY DRIVE, SARASOTA, FL 34240 |
| Name | Role | Address |
|---|---|---|
| GALLO, DONALD, D.M.D. | Manager | 6240 LAKE OSPREY DRIVE, SARASOTA, FL 34240 |
| Cardounel, Alex | Manager | 6240 LAKE OSPREY DRIVE, SARASOTA, FL 34240 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-24 | 6001 ARGYLE FOREST BOULEVARD, SUITE 4, JACKSONVILLE, FL 32244 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-07-24 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-04-24 |
| Florida Limited Liability | 2018-07-12 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
