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JAX BEACHES DENTAL CARE, PLLC - Florida Company Profile

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Company Details

Entity Name: JAX BEACHES DENTAL CARE, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 29 Nov 2021 (4 years ago)
Document Number: L21000506650
FEI/EIN Number 87-3870413
Address: 802 3RD ST., NEPTUNE BEACH, FL, 32266, US
Mail Address: 802 3RD ST., NEPTUNE BEACH, FL, 32266, US
ZIP code: 32266
City: Neptune Beach
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HUCKE MICHELLE D AMBE 802 3RD ST., NEPTUNE BEACH, FL, 32266
- Agent -

National Provider Identifier

NPI Number:
1275238305
Certification Date:
2023-03-30

Authorized Person:

Name:
MICHELLE D HUCKE
Role:
DENTIST/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
9042473320

Form 5500 Series

Employer Identification Number (EIN):
873870413
Plan Year:
2023
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
16
Sponsors Telephone Number:

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-03-14
ANNUAL REPORT 2022-04-15
Florida Limited Liability 2021-11-29

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Date of last update: 01 Aug 2025

Sources: Florida Department of State