| Entity Name: | ROCK DENTAL FLORIDA PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
ROCK DENTAL FLORIDA 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. |
| 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: | 12 Oct 2022 (3 years ago) |
| Document Number: | L22000437051 |
| FEI/EIN Number |
92-0663310
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5101 GATE PARKWAY, #3, JACKSONVILLE, FL, 32256, US |
| Mail Address: | 500 SHALL STREET, SUITE A, LITTLE ROCK, AR, 72202, US |
| ZIP code: | 32256 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144946963 | 2022-10-13 | 2024-07-30 | PO BOX 3450, LITTLE ROCK, AR, 722033450, US | 2363 DUNN AVE, JACKSONVILLE, FL, 322184695, US | |||||||||||||||||||||||||
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| Phone | +1 501-781-2777 |
| Fax | 5017812778 |
| Phone | +1 904-751-6030 |
Authorized person
| Name | SHANEQUE S PHILMON |
| Role | CREDENTIALING MANAGER |
| Phone | 5014622062 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| Is Primary | No |
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | - |
| WRAY ROGER | Manager | 5101 GATE PARKWAY #3, JACKSONVILLE, FL, 32256 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000085624 | BAPTISTE DENTISTRY FOR KIDS | ACTIVE | 2023-07-21 | 2028-12-31 | - | 500 SHALL STREET SUITE A, LITTLE ROCK, AR, 72202 |
| G23000087282 | BAPTISTE ORTHODONTICS | ACTIVE | 2023-07-21 | 2028-12-31 | - | 500 SHALL STREET SUITE A, LITTLE ROCK, AR, 72202 |
| G22000145185 | COASTLINE ORTHODONTICS | ACTIVE | 2022-11-28 | 2027-12-31 | - | 500 SHALL STREET,SUITE A, LITTLE ROCK, AR, 72202 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| ANNUAL REPORT | 2023-02-21 |
| Florida Limited Liability | 2022-10-12 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
