| Entity Name: | JACKED DMD, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Apr 2024 (10 months ago) |
| Document Number: | L24000172369 |
| Address: | 3039 SW SEABOARD AVE, PALM CITY, FL 34990 |
| Mail Address: | 3039 SW SEABOARD AVE, PALM CITY, FL 34990 |
| ZIP code: | 34990 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558106682 | 2024-06-29 | 2024-06-29 | 1534 SUMTER LN, MELBOURNE, FL, 329048740, US | 2186 HARRIS AVE NE STE 3, PALM BAY, FL, 329054044, US | |||||||||||||||
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| Phone | +1 860-985-9883 |
| Phone | +1 321-723-2620 |
Authorized person
| Name | DR. MARC AARON CHRISTY |
| Role | OWNER DENTIST |
| Phone | 8609859883 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CHRISTY, MARC | Agent | 3039 SW SEABOARD AVE, PALM CITY, FL 34990 |
| Name | Role | Address |
|---|---|---|
| CHRISTY, MARC | Manager | 3039 SW SEABOARD AVE, PALM CITY, FL 34990 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000102566 | RIVER OAK DENTAL | ACTIVE | 2024-08-28 | 2029-12-31 | No data | 2186 HARRIS AVE NE, SUITE 3, PALM BAY, FL, 32905 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-04-11 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
