Entity Name: | SEASIDE DENTAL CARE PLLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 06 May 2019 (6 years ago) |
Document Number: | L19000122531 |
FEI/EIN Number | 83-4537029 |
Address: | 3725 12TH COURT, SUITE A, VERO BEACH, FL, 32960 |
Mail Address: | 3725 12TH COURT, SUITE A, VERO BEACH, FL, 32960 |
ZIP code: | 32960 |
County: | Indian River |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1962069138 | 2019-05-23 | 2020-01-03 | 3725 12TH CT STE A, VERO BEACH, FL, 329606519, US | 3725 12TH CT STE A, VERO BEACH, FL, 329606519, US | |||||||||||||||||||
|
Phone | +1 772-410-5818 |
Authorized person
Name | DR. JAN GARCIA |
Role | DENTIST |
Phone | 7865543601 |
Taxonomy
Taxonomy Code | 261QD0000X - Dental Clinic/Center |
Is Primary | Yes |
Other Provider Identifiers
Issuer | NPI |
Number | 1982016051 |
State | FL |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
SEASIDE DENTAL CARE 401(K) PLAN | 2023 | 834537029 | 2024-07-31 | SEASIDE DENTAL CARE, PLLC | 5 | |||||||||||||||||||||||||||||||||
|
Role | Plan administrator |
Date | 2024-07-30 |
Name of individual signing | JAN GARCIA |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2024-07-30 |
Name of individual signing | JAN GARCIA |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2021-01-01 |
Business code | 621210 |
Sponsor’s telephone number | 7724105818 |
Plan sponsor’s address | 3725 12TH COURT, VERO BEACH, FL, 32960 |
Signature of
Role | Plan administrator |
Date | 2023-07-20 |
Name of individual signing | JAN GARCIA |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2023-07-20 |
Name of individual signing | JAN GARCIA |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2021-01-01 |
Business code | 621210 |
Sponsor’s telephone number | 7724105818 |
Plan sponsor’s address | 3725 12TH COURT, VERO BEACH, FL, 32960 |
Signature of
Role | Plan administrator |
Date | 2022-09-21 |
Name of individual signing | JAN GARCIA |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2022-09-21 |
Name of individual signing | JAN GARCIA |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Address |
---|---|---|
Chelsea Garcia | Agent | 3725 12TH COURT, VERO BEACH, FL, 32960 |
Name | Role | Address |
---|---|---|
Chelsea Garcia | Manager | 3725 12TH COURT, SUITE A, VERO BEACH, FL, 32960 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2025-12-01 | 3725 12TH COURT, SUITE A, VERO BEACH, FL 32960 | No data |
CHANGE OF MAILING ADDRESS | 2025-12-01 | 3725 12TH COURT, SUITE A, VERO BEACH, FL 32960 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2024-12-01 | 3725 12TH COURT, SUITE A, VERO BEACH, FL 32960 | No data |
CHANGE OF MAILING ADDRESS | 2024-12-01 | 3725 12TH COURT, SUITE A, VERO BEACH, FL 32960 | No data |
REGISTERED AGENT NAME CHANGED | 2023-01-25 | Chelsea, Garcia | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2025-01-11 |
ANNUAL REPORT | 2024-01-18 |
ANNUAL REPORT | 2023-01-25 |
ANNUAL REPORT | 2022-01-20 |
ANNUAL REPORT | 2021-01-04 |
ANNUAL REPORT | 2020-01-20 |
Florida Limited Liability | 2019-05-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State