| Entity Name: | SAN JOSE ASPEN PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Jun 2019 (6 years ago) |
| Document Number: | L19000158948 |
| FEI/EIN Number | 84-2227650 |
| Mail Address: | 130 CORRIDOR RD, PO BOX 634, PONTE VEDRA BEACH, FL, 32004, US |
| Address: | 10502 SAN JOSE BLVD, STE B, JACKSONVILLE, FL, 32257, US |
| ZIP code: | 32257 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659923118 | 2019-07-15 | 2023-06-13 | PO BOX 70887, CLEVELAND, OH, 441900887, US | 10502 SAN JOSE BLVD STE B, JACKSONVILLE, FL, 322576209, US | |||||||||||||
|
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| Phone | +1 904-632-7003 |
Authorized person
| Name | JONG YUN PARK |
| Role | OWNER |
| Phone | 9046327003 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role |
|---|---|
| SOUTH JACKSONVILLE DENTAL PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| PARK JONG YUN | Owner | PO BOX 634, PONTE VEDRA BEACH, FL, 32004 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000016013 | ASPEN DENTAL | ACTIVE | 2019-01-30 | 2029-12-31 | No data | 281 SANDERS CREEK PARKWAY, EAST SYRACUSE, NY, 13057 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-07-26 | 10502 SAN JOSE BLVD, STE B, JACKSONVILLE, FL 32257 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-04 |
| ANNUAL REPORT | 2023-01-22 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-01-18 |
| Florida Limited Liability | 2019-06-17 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
