Search icon

MIDDLEBURG DENTAL PLLC - Florida Company Profile

Company Details

Entity Name: MIDDLEBURG DENTAL PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

MIDDLEBURG DENTAL PLLC 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: 04 Oct 2021 (4 years ago)
Last Event: LC NAME CHANGE
Event Date Filed: 08 Nov 2021 (3 years ago)
Document Number: L21000433977
FEI/EIN Number 87-2961383

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

Address: 1178 BLANDING BLVD, MIDDLEBURG, FL, 32068
Mail Address: PO BOX 634, PONTE VEDRA BEACH, FL, 32004
ZIP code: 32068
County: Clay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528703691 2022-05-03 2023-06-20 PO BOX 70887, CLEVELAND, OH, 441900887, US 1789 BLANDING BLVD, MIDDLEBURG, FL, 32068, US

Contacts

Phone +1 315-454-6000

Authorized person

Name JONG YUN PARK
Role OWNER
Phone 3154546000

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Key Officers & Management

Name Role Address
Park Jong yun Auth PO BOX 634, PONTE VEDRA BEACH, FL, 32004
PARK JONG YUN Agent 130 Corridor Rd., Ponte Vedra Beach, FL, 32004

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000050189 ASPEN DENTAL ACTIVE 2022-04-20 2027-12-31 - 281 SANDERS CREEK PARKWAY, EAST SYRACUSE, NY, 13057

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-01-04 130 Corridor Rd., PO Box 634, Ponte Vedra Beach, FL 32004 -
LC NAME CHANGE 2021-11-08 MIDDLEBURG DENTAL PLLC -

Documents

Name Date
ANNUAL REPORT 2025-01-20
ANNUAL REPORT 2024-01-04
ANNUAL REPORT 2023-01-18
LC Name Change 2021-11-08
Florida Limited Liability 2021-10-04

Date of last update: 02 Apr 2025

Sources: Florida Department of State