| 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. |
| 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. |
| Mail Address: | 3020 Hartley Road, Suite 210, Jacksonville, FL, 32257, US |
| Address: | 9143 Phillips Highway, Suite 515, Jacksonville, FL, 32256, US |
| ZIP code: | 32256 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598483414 | 2022-08-16 | 2024-11-05 | 3020 HARTLEY RD STE 210, JACKSONVILLE, FL, 322578206, US | 9143 PHILIPS HWY STE 515, JACKSONVILLE, FL, 322561348, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 904-395-7772 |
Authorized person
| Name | ANDREW WEAVER |
| Role | PRACTICE ADMINISTRATOR |
| Phone | 9043957772 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WEAVER, DMD ROBERT V | Manager | 3020 HARTLEY RD STE 210, JACKSONVILLE, FL, 32257 |
| WEAVER, DMD J. PATRICK | Manager | 3020 HARTLEY RD STE 210, JACKSONVILLE, FL, 32257 |
| WEAVER ANDREW | Agent | 3020 HARTLEY RD STE 210, JACKSONVILLE, FL, 32257 |
| 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 |
| 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 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-04-12 |
| Florida Limited Liability | 2021-04-15 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
