| Entity Name: | ISLAND DENTISTS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Jul 2023 (2 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L23000338132 |
| FEI/EIN Number | 93-2445911 |
| Mail Address: | 100 ARRICOLA AVE, ST AUGUSTINE, FL, 32080, US |
| Address: | 1023 ST JOHNS AVE, PALATKA, FL, 32177 |
| ZIP code: | 32177 |
| County: | Putnam |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891551834 | 2024-02-27 | 2024-02-27 | 1023 SAINT JOHNS AVE, PALATKA, FL, 321774651, US | 1023 SAINT JOHNS AVE, PALATKA, FL, 321774651, US | |||||||||||||
|
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| Phone | +1 386-385-3700 |
Authorized person
| Name | DR. REX PAINTER |
| Role | DENTIST |
| Phone | 9045409299 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HINMAN ROY HII | Agent | 100 ARRICOLA AVE, ST AUGUSTINE, FL, 32080 |
| Name | Role | Address |
|---|---|---|
| HINMAN ROY HII | Director | 100 ARRICOLA AVE, ST AUGUSTINE, FL, 32080 |
| Name | Role | Address |
|---|---|---|
| PAINTER REX | Manager | 10 DOLPHIN DR, ST AUGUSTINE, FL, 32080 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-02-02 | HINMAN, ROY H, II | No data |
| LC NAME CHANGE | 2023-09-22 | ISLAND DENTISTS, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| LC Name Change | 2023-09-22 |
| Florida Limited Liability | 2023-07-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
