| Entity Name: | AQUIDEL DENTAL SERVICES , LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Jun 2019 (6 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 11 Jun 2020 (5 years ago) |
| Document Number: | L19000163573 |
| FEI/EIN Number | 842609577 |
| Address: | 11574 SW Village Parkway, PORT SAINT LUCIE, FL, 34987, US |
| Mail Address: | 11901 Sw Aventino Drive, PORT SAINT LUCIE, FL, 34987, US |
| ZIP code: | 34987 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649907809 | 2022-08-06 | 2022-08-06 | 11574 SW VILLAGE PKWY, PORT ST LUCIE, FL, 349872392, US | 11574 SW VILLAGE PKWY, PORT ST LUCIE, FL, 349872392, US | |||||||||||||
|
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| Phone | +1 772-204-3113 |
Authorized person
| Name | MYRENE MYRENE |
| Role | BILLING STAFF |
| Phone | 5165968123 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Aquino Nerissa Manager | Agent | 11901 Sw Aventino Drive, PORT SAINT LUCIE, FL, 34987 |
| Name | Role | Address |
|---|---|---|
| AQUINO NERISSA | Manager | 11901 Sw Aventino Drive, PORT SAINT LUCIE, FL, 34987 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000064339 | A'S FAMILY DENTISTRY | ACTIVE | 2022-05-24 | 2027-12-31 | No data | 11901 SW AVENTINO DRIVE, PORT SAINT LUCIE, FL, 34987 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-12 | 11574 SW Village Parkway, PORT SAINT LUCIE, FL 34987 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-01-22 | Aquino, Nerissa, Manager | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-22 | 11901 Sw Aventino Drive, PORT SAINT LUCIE, FL 34987 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-23 | 11574 SW Village Parkway, PORT SAINT LUCIE, FL 34987 | No data |
| LC AMENDMENT | 2020-06-11 | No data | No data |
| LC AMENDMENT | 2019-07-29 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-14 |
| ANNUAL REPORT | 2023-02-12 |
| ANNUAL REPORT | 2022-01-22 |
| ANNUAL REPORT | 2021-01-27 |
| LC Amendment | 2020-06-11 |
| ANNUAL REPORT | 2020-01-17 |
| LC Amendment | 2019-07-29 |
| Florida Limited Liability | 2019-06-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
