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LAKESIDE DENTAL SURGERY CENTER, LLC - Florida Company Profile

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Company Details

Entity Name: LAKESIDE DENTAL SURGERY CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

LAKESIDE DENTAL SURGERY CENTER, LLC 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: 15 Apr 2021 (4 years ago)
Document Number: L21000161440
FEI/EIN Number 86-3362290

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

Address: 3030 HARTLEY RD STE 310, JACKSONVILLE, FL, 32257-8213, US
Mail Address: 3030 HARTLEY RD STE 310, JACKSONVILLE, FL, 32257-8213, US
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
WEAVER ANDREW Agent 3030 HARTLEY RD STE 310, JACKSONVILLE, FL, 322578213
WEAVER, DMD ROBERT VDMD Director 3030 HARTLEY RD STE 310, JACKSONVILLE, FL, 322578213
WEAVER, DMD J. PDMD Director 3030 HARTLEY RD STE 310, JACKSONVILLE, FL, 322578213
WEAVER ANDREW C President 3030 HARTLEY RD STE 310, JACKSONVILLE, FL, 322578213

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
SBXUKLJ54551
UEI Expiration Date:
2026-03-26

Business Information

Doing Business As:
LAKESIDE DENTAL SURGERY CENTER
Activation Date:
2025-03-28
Initial Registration Date:
2025-03-10

National Provider Identifier

NPI Number:
1598483414
Certification Date:
2024-11-05

Authorized Person:

Name:
ANDREW WEAVER
Role:
PRACTICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000020517 LAKESIDE DENTAL SURGERY CENTER ACTIVE 2023-02-13 2028-12-31 - 3020 HARTLEY ROAD, SUITE 210, JACKSONVILLE, FL, 32257

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-04-12 9143 Phillips Highway, Suite 515, Jacksonville, FL 32256 -
CHANGE OF MAILING ADDRESS 2022-04-12 9143 Phillips Highway, Suite 515, Jacksonville, FL 32256 -

Documents

Name Date
ANNUAL REPORT 2024-03-11
ANNUAL REPORT 2023-04-05
ANNUAL REPORT 2022-04-12
Florida Limited Liability 2021-04-15

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Date of last update: 01 Jun 2025

Sources: Florida Department of State