| Entity Name: | IDEAL DENTAL BEACHWALK, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Jun 2024 (7 months ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 08 Nov 2024 (3 months ago) |
| Document Number: | L24000270229 |
| Address: | 145 BEACHWALK SHORE DR, STE 400, ST. JOHNS, FL 32259 |
| Mail Address: | 12750 MERIT DRIVE, SUITE 1100, DALLAS, TX 75251 |
| ZIP code: | 32259 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073344917 | 2024-08-12 | 2024-09-11 | PO BOX 840925, DALLAS, TX, 752840925, US | 145 BEACHWALK SHORE DR STE 400, ST JOHNS, FL, 322591168, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 972-361-0600 |
| Phone | +1 904-209-3042 |
Authorized person
| Name | DR. MATTHEW DOAN |
| Role | OWNER |
| Phone | 9723318067 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| DOAN, MATTHEW | Authorized Person | 145 BEACHWALK SHORE DR, STE 400, ST. JOHNS, FL 32259 |
| Name | Role |
|---|---|
| IDEAL DENTAL OF FLORIDA HOLDINGS, PLLC | Authorized Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC NAME CHANGE | 2024-11-08 | IDEAL DENTAL BEACHWALK, PLLC | No data |
| Name | Date |
|---|---|
| LC Name Change | 2024-11-08 |
| Florida Limited Liability | 2024-06-13 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
