| Entity Name: | JACKSONVILLE EMERGENCY DENTAL, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Jan 2006 (19 years ago) |
| Document Number: | P06000013659 |
| FEI/EIN Number | 204206572 |
| Address: | 1716 UNIVERSITY BLVD S, JACKSONVILLE, FL, 32216 |
| Mail Address: | 1716 UNIVERSITY BLVD S, JACKSONVILLE, FL, 32216 |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184874372 | 2008-09-24 | 2008-09-24 | 1716 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322168929, US | 1716 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322168929, US | |||||||||||||||||||
|
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| Phone | +1 904-224-0046 |
| Fax | 9042240699 |
Authorized person
| Name | DR. MICHAEL JAMES THOMASINO |
| Role | PRESIDENT |
| Phone | 9042240046 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN16459 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| THOMASINO MICHAEL J | Agent | 1716 UNIVERSITY BLVD S, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| THOMASINO MICHAEL J | President | 1716 UNIVERSITY BLVD S, JACKSONVILLE, FL, 32216 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000128988 | JACKSONVILLE EMERGENCY AND FAMILY DENTAL CARE | ACTIVE | 2021-09-27 | 2026-12-31 | No data | 1716 UNIVERSITY BLVD. S, JACKSONVILLE, FL, 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2010-01-08 | 1716 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-01-08 | THOMASINO, MICHAEL J | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-01-08 | 1716 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-26 | 1716 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-14 |
| ANNUAL REPORT | 2023-02-10 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-25 |
| ANNUAL REPORT | 2020-05-13 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-03-10 |
| ANNUAL REPORT | 2017-03-07 |
| ANNUAL REPORT | 2016-03-26 |
| ANNUAL REPORT | 2015-02-16 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
