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NEIL K STEVENSON DMD, PLLC

Company Details

Entity Name: NEIL K STEVENSON DMD, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 27 Jan 2020 (5 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 21 May 2020 (5 years ago)
Document Number: L20000033335
FEI/EIN Number 84-4727806
Address: 12078-1 SAN JOSE BLVD, JACKSONVILLE, FL, 32223, US
Mail Address: 12078-1 SAN JOSE BLVD, JACKSONVILLE, FL, 32223, US
ZIP code: 32223
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285242941 2020-07-20 2020-07-20 12078 SAN JOSE BLVD STE 1, JACKSONVILLE, FL, 322238671, US 12078 SAN JOSE BLVD STE 1, JACKSONVILLE, FL, 322238671, US

Contacts

Phone +1 904-268-4466
Fax 9042685904

Authorized person

Name SHELLY HAND
Role OFFICE MANAGER
Phone 9042684466

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Agent

Name Role Address
STEVENSON NEIL K Agent 12078-1 SAN JOSE BLVD, JACKSONVILLE, FL, 32223

Manager

Name Role Address
STEVENSON NEIL K Manager 12078-1 SAN JOSE BLVD, JACKSONVILLE, FL, 32223

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000065168 FIRST COAST DENTAL SLEEP MEDICINE ACTIVE 2020-06-10 2025-12-31 No data 12078 SAN JOSE BLVD, SUITE 1, JACKSONVILLE, FL, 32223
G20000025524 STEVENSON FAMILY DENISTRY ACTIVE 2020-02-27 2025-12-31 No data 12078 SAN JOSE BLVD, SUITE 1, JACKSONVILLE, FL, 32223

Events

Event Type Filed Date Value Description
LC AMENDMENT 2020-05-21 No data No data
REGISTERED AGENT NAME CHANGED 2020-05-21 STEVENSON, NEIL K No data
REGISTERED AGENT ADDRESS CHANGED 2020-05-21 12078-1 SAN JOSE BLVD, JACKSONVILLE, FL 32223 No data

Documents

Name Date
ANNUAL REPORT 2024-01-30
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-03-16
ANNUAL REPORT 2021-01-26
LC Amendment 2020-05-21
Florida Limited Liability 2020-01-27

Date of last update: 02 Feb 2025

Sources: Florida Department of State