| Entity Name: | FAMILY DENTISTRY OF JENSEN BEACH, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Feb 2022 (3 years ago) |
| Document Number: | L22000078719 |
| FEI/EIN Number | 88-0917543 |
| Mail Address: | 8794 W. BOYNTON BEACH BLVD., 218, BOYNTON BEACH, FL 33473 |
| Address: | 3571 NW Federal Hwy, Jensen Beach, FL 34957 |
| ZIP code: | 34957 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902553357 | 2022-03-06 | 2022-03-06 | 8794 W BOYNTON BEACH BLVD STE 218, BOYNTON BEACH, FL, 334724469, US | 3571 NW FEDERAL HWY, JENSEN BEACH, FL, 349574454, US | |||||||||||||||||
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| Phone | +1 561-789-6611 |
| Phone | +1 772-444-0601 |
| Fax | 7724443371 |
Authorized person
| Name | DR. SEAN TOMALTY |
| Role | DENTIST/OWNER |
| Phone | 5617896611 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Tomalty, Sean A | Agent | 8794 W. BOYNTON BEACH BLVD., 218, BOYNTON BEACH, FL 33473 |
| Name | Role | Address |
|---|---|---|
| TOMALTY, SEAN A, D.M.D. | Manager | 8794 W. BOYNTON BEACH BLVD. SUITE 218, BOYNTON BEACH, FL 33473 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-23 | Tomalty, Sean A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-23 | 8794 W. BOYNTON BEACH BLVD., 218, BOYNTON BEACH, FL 33473 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-13 | 3571 NW Federal Hwy, Jensen Beach, FL 34957 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-13 | 3571 NW Federal Hwy, Jensen Beach, FL 34957 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-13 |
| Florida Limited Liability | 2022-02-24 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
