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SEASIDE DENTAL CARE PLLC

Company Details

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

National Provider Identifier

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

Contacts

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

form 5500

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
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 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
SEASIDE DENTAL CARE 401(K) PLAN 2022 834537029 2023-07-24 SEASIDE DENTAL CARE, PLLC 3
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
SEASIDE DENTAL CARE 401(K) PLAN 2021 834537029 2022-09-21 SEASIDE DENTAL CARE, PLLC 2
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

Agent

Name Role Address
Chelsea Garcia Agent 3725 12TH COURT, VERO BEACH, FL, 32960

Manager

Name Role Address
Chelsea Garcia Manager 3725 12TH COURT, SUITE A, VERO BEACH, FL, 32960

Events

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

Documents

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