Entity Name: | NORMANDY LAKE DENTISTRY PARTNERS, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 19 Sep 2024 (4 months ago) |
Document Number: | L24000408838 |
Address: | 2845 UNIVERSITY BLVD. W., JACKSONVILLE, FL 32217 |
Mail Address: | 2845 UNIVERSITY BLVD. W., JACKSONVILLE, FL 32217 |
ZIP code: | 32217 |
County: | Duval |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1194548800 | 2024-11-02 | 2024-11-02 | 2845 UNIVERSITY BLVD W, JACKSONVILLE, FL, 322172116, US | 2845 UNIVERSITY BLVD W, JACKSONVILLE, FL, 322172116, US | |||||||||||||||
|
Phone | +1 786-252-2617 |
Phone | +1 904-293-2520 |
Authorized person
Name | DR. JOSEPH KING LEE |
Role | CEO |
Phone | 7862522617 |
Taxonomy
Taxonomy Code | 1223G0001X - General Practice Dentistry |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
LEE, JOSEPH K | Agent | 2845 UNIVERSITY BLVD. W., JACKSONVILLE, FL 32217 |
Name | Role | Address |
---|---|---|
LESS, JOSPEH K | Manager | 2845 UNIVERSITY BLVD. W., JACKSONVILLE, FL 32217 |
Name | Date |
---|---|
Florida Limited Liability | 2024-09-19 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State