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JACKSONVILLE DENTAL SPECIALISTS, PLLC - Florida Company Profile

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Company Details

Entity Name: JACKSONVILLE DENTAL SPECIALISTS, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

JACKSONVILLE DENTAL SPECIALISTS, 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: 25 Jul 2023 (2 years ago)
Last Event: CONVERSION
Event Date Filed: 25 Jul 2023 (2 years ago)
Document Number: L23000378442
FEI/EIN Number 80-0895301

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

Address: 11512 LAKE MEAD AVENUE, SUITE 532, JACKSONVILLE, FL, 32256, US
Mail Address: 11512 LAKE MEAD AVENUE, SUITE 532, JACKSONVILLE, FL, 32256, US
ZIP code: 32256
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
AGILA RICHARD E Manager 11512 LAKE MEAD AVENUE, SUITE 532, JACKSONVILLE, FL, 32256
NAWROCKI MATTHEW Manager 11512 LAKE MEAD AVENUE, SUITE 532, JACKSONVILLE, FL, 32256
NAWROCKI MATTHEW Agent 11512 LAKE MEAD AVENUE, SUITE 532, JACKSONVILLE, FL, 32256

National Provider Identifier

NPI Number:
1568915387

Authorized Person:

Name:
LYDIA CUEVAS
Role:
PRACTICE COORDINATOR
Phone:

Taxonomy:

Selected Taxonomy:
1223P0300X - Periodontist
Is Primary:
No
Selected Taxonomy:
1223P0700X - Prosthodontist
Is Primary:
Yes

Contacts:

Fax:
9046833914

Form 5500 Series

Employer Identification Number (EIN):
800895301
Plan Year:
2023
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
7
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CONVERSION 2023-07-25 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS. CONVERSION NUMBER 100000243251

Documents

Name Date
ANNUAL REPORT 2024-03-11
Florida Limited Liability 2023-07-25

USAspending Awards / Financial Assistance

Date:
2020-05-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-05-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
92600.00
Total Face Value Of Loan:
92600.00
Date:
2020-04-23
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
7000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$92,600
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$92,600
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$89,773.28
Servicing Lender:
PNC Bank, National Association
Use of Proceeds:
Payroll: $92,600

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Date of last update: 01 Jul 2025

Sources: Florida Department of State