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ACOSTA DENTAL, LLC - Florida Company Profile

Company Details

Entity Name: ACOSTA DENTAL, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

ACOSTA DENTAL, 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: 16 Jul 2021 (4 years ago)
Document Number: L21000325828
FEI/EIN Number 87-1853615

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

Address: 445 SW SILVERPALM DRIVE, LAKE CITY, FL, 32024, US
Mail Address: 445 SW SILVERPALM DRIVE, LAKE CITY, FL, 32024, US
ZIP code: 32024
County: Columbia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982454310 2024-03-26 2024-06-05 PO BOX 70887, CLEVELAND, OH, 441900887, US 2143 W US HIGHWAY 90 STE A, LAKE CITY, FL, 320557726, US

Contacts

Phone +1 386-243-2031
Fax 3867550132

Authorized person

Name VALERIE HAMILTON
Role DIRECTOR OF CONTRACTING
Phone 3154546000

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Key Officers & Management

Name Role Address
ACOSTA MANUEL DR. Manager 445 SW SILVERPALM DR, LAKE CITY, FL, 32024
DFS AGENT, LLC Agent -

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000041082 ASPEN DENTAL ACTIVE 2024-03-22 2029-12-31 - 281 SANDERS CREEK PARKWAY, EAST SYRACUSE, NY, 13057

Documents

Name Date
ANNUAL REPORT 2025-02-08
ANNUAL REPORT 2024-02-02
ANNUAL REPORT 2023-03-04
ANNUAL REPORT 2022-02-05
Florida Limited Liability 2021-07-16

Date of last update: 03 Apr 2025

Sources: Florida Department of State