| Entity Name: | ISLANDS EDGE DENTAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 12 Jul 2021 (4 years ago) |
| Document Number: | L21000316965 |
| FEI/EIN Number | 87-1740402 |
| Address: | 1301 PLANTATION ISLAND DRIVE SOUTH, SUITE 104B, SAINT AUGUSTINE, FL 32080 |
| Mail Address: | 1301 PLANTATION ISLAND DRIVE SOUTH, SUITE 104B, SAINT AUGUSTINE, FL 32080 |
| ZIP code: | 32080 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861162141 | 2021-09-17 | 2021-09-17 | 1301 PLANTATION ISLAND DR S STE 104B, ST AUGUSTINE, FL, 320803110, US | 1301 PLANTATION ISLAND DR S STE 104B, ST AUGUSTINE, FL, 320803110, US | |||||||||||||||
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| Phone | +1 904-461-5566 |
| Fax | 9044610084 |
Authorized person
| Name | DR. ANDREW MULLET |
| Role | GENERAL DENTIST |
| Phone | 9044615566 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MULLET, ANDREW | Agent | 505 POPE ROAD, SAINT AUGUSTINE, FL 32080 |
| Name | Role | Address |
|---|---|---|
| MULLET, ANDREW | Manager | 505 POPE ROAD, SAINT AUGUSTINE, FL 32080 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-02 | 1301 PLANTATION ISLAND DRIVE SOUTH, SUITE 104B, SAINT AUGUSTINE, FL 32080 | No data |
| CHANGE OF MAILING ADDRESS | 2022-05-02 | 1301 PLANTATION ISLAND DRIVE SOUTH, SUITE 104B, SAINT AUGUSTINE, FL 32080 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-12 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-05-02 |
| Florida Limited Liability | 2021-07-12 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
