| Entity Name: | RJG DENTISTRY PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Jul 2024 (7 months ago) |
| Document Number: | L24000321634 |
| Address: | 592 SW 63RD STREET ROAD, OCALA, FL, 34471, US |
| Mail Address: | 592 SW 63RD STREET ROAD, OCALA, FL, 34471, US |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831921097 | 2024-08-16 | 2024-08-16 | PO BOX 70887, CLEVELAND, OH, 441900887, US | 330 COLONY BLVD, THE VILLAGES, FL, 321626081, US | |||||||||||||||
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| Phone | +1 315-410-5531 |
| Phone | +1 352-330-6344 |
Authorized person
| Name | VALERIE HAMILTON |
| Role | DIRECTOR, PAYOR STRATEGY |
| Phone | 3154105531 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role |
|---|---|
| DFS AGENT, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| GONZALEZ RAYMOND J | Manager | 592 SW 63RD STREET ROAD, OCALA, FL, 34471 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000114878 | ASPEN DENTAL | ACTIVE | 2024-09-13 | 2029-12-31 | No data | 281 SANDERS CREEK PARKWAY, EAST SYRACUSE, NY, 13057 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-07-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
