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SOUTHSIDE ASPEN PLLC - Florida Company Profile

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Company Details

Entity Name: SOUTHSIDE ASPEN PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 Oct 2020 (5 years ago)
Document Number: L20000312606
FEI/EIN Number 85-3343617
Address: 9990 SOUTHSIDE BLVD, JACKSONVILLE, FL, 32256, US
Mail Address: 130 CORRIDOR RD, PO BOX 634, PONTE VEDRA BEACH, FL, 32004, US
ZIP code: 32256
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PARK JONG YUN Agent 130 Corridor Rd., Ponte Vedra Beach, FL, 32004
PARK JONG YUN Authorized Member PO BOX 634, PONTE VEDRA BEACH, FL, 32082

National Provider Identifier

NPI Number:
1558947739
Certification Date:
2023-06-20

Authorized Person:

Name:
JONG YUN PARK
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000046673 ASPEN DENTAL ACTIVE 2021-04-06 2026-12-31 - 281 SANDERS CREEK PARKWAY, SYRACUSE, NY, 13057

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-01-21 130 Corridor Rd., PO Box 634, Ponte Vedra Beach, FL 32004 -
CHANGE OF MAILING ADDRESS 2021-07-26 9990 SOUTHSIDE BLVD, JACKSONVILLE, FL 32256 -

Documents

Name Date
ANNUAL REPORT 2025-01-20
ANNUAL REPORT 2024-01-04
ANNUAL REPORT 2023-01-22
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-01-13
Florida Limited Liability 2020-10-05

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Date of last update: 02 Aug 2025

Sources: Florida Department of State