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NLD #4 - STARKE, PLLC

Company Details

Entity Name: NLD #4 - STARKE, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 24 Sep 2024 (4 months ago)
Document Number: L24000415636
Address: 459 W. CALL STREET, STARKE, FL 32091
Mail Address: 459 W. CALL STREET, STARKE, FL 32091
ZIP code: 32091
County: Bradford
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558184267 2024-11-02 2024-11-02 2845 UNIVERSITY BLVD W, JACKSONVILLE, FL, 322172116, US 459 W CALL ST, STARKE, FL, 320913115, US

Contacts

Phone +1 786-252-2617
Phone +1 904-964-5152

Authorized person

Name DR. JOSEPH K LEE
Role CEO
Phone 7862522617

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes

Agent

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

Authorized Member

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

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000132546 NORMANDY LAKE DENTISTRY ACTIVE 2024-10-29 2029-12-31 No data 459 W. CALL ST., STARKE, FLORIDA, MO, 32091

Documents

Name Date
Florida Limited Liability 2024-09-24

Date of last update: 06 Jan 2025

Sources: Florida Department of State