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MICHAEL E. PATCH DDS, PLLC - Florida Company Profile

Company Details

Entity Name: MICHAEL E. PATCH DDS, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

MICHAEL E. PATCH DDS, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 22 Feb 2021 (4 years ago)
Document Number: L21000088787
FEI/EIN Number 862506985

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 10609 OLD SAINT AUGUSTINE ROAD, SUITE 3, JACKSONVILLE, FL, 32257, US
Mail Address: 10609 OLD SAINT AUGUSTINE ROAD, SUITE 3, JACKSONVILLE, FL, 32257, US
ZIP code: 32257
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356014229 2021-07-27 2021-07-27 10609 OLD SAINT AUGUSTINE RD STE 3, JACKSONVILLE, FL, 322571019, US 10609 OLD SAINT AUGUSTINE RD STE 3, JACKSONVILLE, FL, 322571019, US

Contacts

Phone +1 904-268-1331

Authorized person

Name MICHAEL PATCH
Role OWNER
Phone 9042681331

Taxonomy

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

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MICHAEL E. PATCH DDS 401(K)PROFIT SHARING PLAN 2023 862506985 2024-06-28 MICHAEL E. PATCH DDS PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 9042681331
Plan sponsor’s address 10609 OLD ST. AUGUSTINE ROAD, SUITE 3, JACKSONVILLE, FL, 322571019

Signature of

Role Plan administrator
Date 2024-06-28
Name of individual signing MICHAEL E. PATCH
Valid signature Filed with authorized/valid electronic signature
MICHAEL E. PATCH DDS 401(K)PROFIT SHARING PLAN 2022 862506985 2023-09-08 MICHAEL E. PATCH DDS PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 9042681331
Plan sponsor’s address 10609 OLD ST. AUGUSTINE ROAD, SUITE 3, JACKSONVILLE, FL, 322571019

Signature of

Role Plan administrator
Date 2023-09-08
Name of individual signing MICHAEL E. PATCH
Valid signature Filed with authorized/valid electronic signature
MICHAEL E. PATCH DDS 401(K)PROFIT SHARING PLAN 2021 862506985 2022-06-08 MICHAEL E. PATCH DDS PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621210
Sponsor’s telephone number 9042681331
Plan sponsor’s address 10609 OLD ST. AUGUSTINE ROAD, SUITE 3, JACKSONVILLE, FL, 322571019

Signature of

Role Plan administrator
Date 2022-06-08
Name of individual signing MICHAEL PATCH
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
PATCH MICHAEL E Agent 10609 OLD SAINT AUGUSTINE ROAD, JACKSONVILLE, FL, 32257
PATCH MICHAEL E Manager 10609 OLD SAINT AUGUSTINE ROAD, SUITE 3, JACKSONVILLE, FL, 32257

Documents

Name Date
ANNUAL REPORT 2025-01-27
ANNUAL REPORT 2024-02-02
ANNUAL REPORT 2023-01-21
ANNUAL REPORT 2022-02-14
Florida Limited Liability 2021-02-22

Date of last update: 02 May 2025

Sources: Florida Department of State