| Entity Name: | LAKEWOOD DENTISTRY #2, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Apr 2021 (4 years ago) |
| Document Number: | L21000197247 |
| FEI/EIN Number | 87-1713157 |
| Address: | 1580 Wells Rd., Orange Park, FL, 32073, US |
| Mail Address: | PO Box 37737, Jacksonville, FL, 32236, US |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922742329 | 2022-04-22 | 2022-04-22 | PO BOX 37737, JACKSONVILLE, FL, 322367737, US | 1580 WELLS RD STE 20, ORANGE PARK, FL, 320732342, US | |||||||||||||||
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| Phone | +1 786-252-2617 |
| Phone | +1 904-278-9011 |
Authorized person
| Name | JOSEPH LEE |
| Role | OWNER/PRESIDENT |
| Phone | 7862522617 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LEE JOSEPH | Agent | 1580 Wells Rd., Orange Park, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| Lee Joseph K | Member | PO Box 37737, Jacksonville, FL, 32236 |
| Querido Jane G | Member | PO Box 37737, Jacksonville, FL, 32236 |
| Joseph K. Lee, DMD and Jane Querido, as Te | Member | PO Box 37737, Jacksonville, FL, 32236 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000061613 | NORMANDY LAKE DENTISTRY | ACTIVE | 2022-05-17 | 2027-12-31 | No data | 7016 GAINES CT., JACKSONVILLE, FL, 32217 |
| G22000046952 | NORMANDY DENTISTRY | ACTIVE | 2022-04-13 | 2027-12-31 | No data | 7016 GAINES CT., JACKSONVILLE, FL, 32217 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-04-19 | 1580 Wells Rd., Orange Park, FL 32073 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-19 | 1580 Wells Rd., Orange Park, FL 32073 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-22 | 1580 Wells Rd., Orange Park, FL 32073 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-04-04 |
| Florida Limited Liability | 2021-04-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
