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NORMANDY LAKE DENTISTRY PARTNERS, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
LEE, JOSEPH K Agent 2845 UNIVERSITY BLVD. W., JACKSONVILLE, FL 32217

Manager

Name Role Address
LESS, JOSPEH K Manager 2845 UNIVERSITY BLVD. W., JACKSONVILLE, FL 32217

Documents

Name Date
Florida Limited Liability 2024-09-19

Date of last update: 06 Jan 2025

Sources: Florida Department of State