| Entity Name: | JACKSONVILLE EMERGENCY DENTAL NORTH, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Aug 2021 (3 years ago) |
| Last Event: | LC STMNT CORR |
| Event Date Filed: | 10 Jan 2022 (3 years ago) |
| Document Number: | L21000371178 |
| FEI/EIN Number | 87-2245299 |
| Address: | 1840 DUNN AVENUE, SUITE 3, JACKSONVILLE, FL, 32218 |
| Mail Address: | 1840 DUNN AVENUE, SUITE 3, JACKSONVILLE, FL, 32218 |
| ZIP code: | 32218 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962147686 | 2022-04-28 | 2022-04-28 | 789 MILL STREAM RD, PONTE VEDRA BEACH, FL, 320824148, US | 1840 DUNN AVE STE 3, JACKSONVILLE, FL, 322184785, US | |||||||||||||||||
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| Phone | +1 904-891-6691 |
| Fax | 9042634560 |
| Phone | +1 904-224-0046 |
Authorized person
| Name | MICHAEL JAMES THOMASINO |
| Role | OWNER |
| Phone | 9048916691 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| THOMASINO MICHAEL | Agent | 1840 DUNN AVENUE, JACKSONVILLE, FL, 32218 |
| Name | Role | Address |
|---|---|---|
| THOMASINO MICHAEL | Auth | 1840 DUNN AVENUE, SUITE 3, JACKSONVILLE, FL, 32218 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT CORR | 2022-01-10 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-14 |
| ANNUAL REPORT | 2023-02-10 |
| ANNUAL REPORT | 2022-01-26 |
| CORLCSTCOR | 2022-01-10 |
| Florida Limited Liability | 2021-08-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
