| Entity Name: | MIDTOWN DENTAL OF JACKSONVILLE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 23 Aug 2006 (18 years ago) |
| Date of dissolution: | 15 Nov 2024 (3 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 15 Nov 2024 (3 months ago) |
| Document Number: | P06000110207 |
| FEI/EIN Number | 205427895 |
| Mail Address: | 2801 ST JOHNS BLUFF ROAD, SUITE 101, JACKSONVILLE, FL, 32246, US |
| Address: | 2797 ST JOHNS BLUFF ROAD, JACKSONVILLE, FL, 32246, US |
| ZIP code: | 32246 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487737441 | 2006-10-23 | 2015-01-26 | 3545-1 ST. JOHNS BLUFF RD. S., SUITE 352, JACKSONVILLE, FL, 32224, US | 2801 SAINT JOHNS BLUFF RD S, SUITE 1, JACKSONVILLE, FL, 322463761, US | |||||||||||||||||||||
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| Phone | +1 904-998-7000 |
| Fax | 9049987702 |
| Phone | +1 904-641-3777 |
| Fax | 9046412146 |
Authorized person
| Name | CRYSTAL L LESS |
| Role | VP OF OPERATIONS |
| Phone | 9049987000 |
Taxonomy
| Taxonomy Code | 305R00000X - Preferred Provider Organization |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| LIVEHEALTHY DENTAL, COMPANY | Agent |
| Name | Role |
|---|---|
| LIVEHEALTHY DENTAL, COMPANY | Director |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-11-15 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-23 | 2797 ST JOHNS BLUFF ROAD, JACKSONVILLE, FL 32246 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-23 | 2801 ST JOHNS BLUFF ROAD, SUITE 101, JACKSONVILLE, FL 32246 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-01-17 | LIVEHEALTHY DENTAL, COMPANY | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-02-05 | 2797 ST JOHNS BLUFF ROAD, JACKSONVILLE, FL 32246 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-11-15 |
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-01-17 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-02-05 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
