| Entity Name: | BEACHVIEW DENTAL, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Apr 2019 (6 years ago) |
| Document Number: | L19000096430 |
| FEI/EIN Number | 834420566 |
| Address: | 1700 Wells Rd, Orange Park, FL, 32073, US |
| Mail Address: | 789 MILL STREAM RD., PONTE VEDRA, FL, 32082, US |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528618071 | 2019-09-17 | 2019-09-17 | 1700 WELLS RD STE 19, ORANGE PARK, FL, 320732374, US | 1700 WELLS RD STE 19, ORANGE PARK, FL, 320732374, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 904-586-1234 |
Authorized person
| Name | MICHAEL JAMES THOMASINO |
| Role | OWNER |
| Phone | 9045861234 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| THOMASINO MICHAEL JDMD | Agent | 789 MILL STREAM RD., PONTE VEDRA, FL, 32082 |
| Name | Role | Address |
|---|---|---|
| THOMASINO MICHAEL JDMD | Authorized Member | 789 MILL STREAM RD., PONTE VEDRA, FL, 32082 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000128992 | SUNRISE EMERGENCY AND FAMILY DENTAL CARE | ACTIVE | 2021-09-27 | 2026-12-31 | No data | 1700 WELLS ROAD, STE 19, ORANGE PARK, FL, 32073 |
| G19000073657 | SUNRISE DENTAL OF ORANGE PARK | ACTIVE | 2019-07-03 | 2029-12-31 | No data | 1700 WELLS RD, STE 19, ORANGE PARK, FL, 32073 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-05-13 | 1700 Wells Rd, Ste 19, Orange Park, FL 32073 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-14 |
| ANNUAL REPORT | 2023-02-10 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-25 |
| ANNUAL REPORT | 2020-05-13 |
| Florida Limited Liability | 2019-04-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
