Search icon

JACKSONVILLE TONGUE TIE LLC

Company Details

Entity Name: JACKSONVILLE TONGUE TIE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 16 Jul 2020 (5 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 30 Nov 2021 (3 years ago)
Document Number: L20000207471
FEI/EIN Number 85-2008900
Address: 196 EVEREST LANE, SUITE 1, ST JOHNS, FL, 32259
Mail Address: 196 EVEREST LANE, SUITE 1, ST JOHNS, FL, 32259
ZIP code: 32259
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831858067 2021-12-15 2021-12-15 196 EVEREST LN STE 1, SAINT JOHNS, FL, 322594103, US 196 EVEREST LN STE 1, SAINT JOHNS, FL, 322594103, US

Contacts

Phone +1 904-584-9004
Fax 9043472011

Authorized person

Name STACEY VEAL
Role PRACTICE ADMINISTRATOR
Phone 9045849004

Taxonomy

Taxonomy Code 1223P0221X - Pediatric Dentist
Is Primary Yes

Agent

Name Role Address
BRIGHT BRYAN M Agent 196 EVEREST LANE, ST JOHNS, FL, 32259

Auth

Name Role Address
Bright Bryan M Auth 196 EVEREST LANE, ST JOHNS, FL, 32259

Events

Event Type Filed Date Value Description
REINSTATEMENT 2021-11-30 No data No data
REGISTERED AGENT NAME CHANGED 2021-11-30 BRIGHT, BRYAN M No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-08
ANNUAL REPORT 2023-01-03
ANNUAL REPORT 2022-03-09
REINSTATEMENT 2021-11-30
Florida Limited Liability 2020-07-16

Date of last update: 01 Feb 2025

Sources: Florida Department of State