| Entity Name: | SOUTHSIDE ASPEN PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Oct 2020 (4 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 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558947739 | 2021-03-19 | 2023-06-20 | PO BOX 70887, CLEVELAND, OH, 441900887, US | 9920 SOUTHSIDE BLVD., JACKSONVILLE, FL, 32256, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 904-240-3439 |
Authorized person
| Name | JONG YUN PARK |
| Role | OWNER |
| Phone | 9042403439 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PARK JONG YUN | Agent | 130 Corridor Rd., Ponte Vedra Beach, FL, 32004 |
| Name | Role | Address |
|---|---|---|
| PARK JONG YUN | Authorized Member | PO BOX 634, PONTE VEDRA BEACH, FL, 32082 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000046673 | ASPEN DENTAL | ACTIVE | 2021-04-06 | 2026-12-31 | No data | 281 SANDERS CREEK PARKWAY, SYRACUSE, NY, 13057 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-21 | 130 Corridor Rd., PO Box 634, Ponte Vedra Beach, FL 32004 | No data |
| CHANGE OF MAILING ADDRESS | 2021-07-26 | 9990 SOUTHSIDE BLVD, JACKSONVILLE, FL 32256 | No data |
| Name | Date |
|---|---|
| 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 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
