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MOBILE DENTAL HEAD-START, LLC - Florida Company Profile

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Company Details

Entity Name: MOBILE DENTAL HEAD-START, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 24 Sep 2024 (a year ago)
Document Number: L24000415715
FEI/EIN Number 99-5064458
Address: 1839 LANE AVENUE SOUTH, SUITE 104, JACKSONVILLE, FL, 32210, US
Mail Address: 1839 LANE AVENUE SOUTH, SUITE 104, JACKSONVILLE, FL, 32210, US
ZIP code: 32210
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BROWN KENJULA Manager 14599 CAMBERWELL LANE NORTH, JACKSONVILLE, FL, 32258
GARY JOHNSON'S ACCOUNTING & TAX SERVICE Agent 1301 RIVERPLACE BOULEVARD, JACKSONVILLE, FL, 32207

National Provider Identifier

NPI Number:
1356161293
Certification Date:
2024-10-24

Authorized Person:

Name:
KENJULA BROWN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Documents

Name Date
Florida Limited Liability 2024-09-24

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Date of last update: 02 Aug 2025

Sources: Florida Department of State