| Entity Name: | FUPS DENTAL .INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 25 Jan 2011 (14 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 09 Sep 2016 (8 years ago) |
| Document Number: | P11000008220 |
| FEI/EIN Number | 274591686 |
| Address: | 1329 Lane Avenue South, Suite 1, JACKSONVILLE, FL, 32205, US |
| Mail Address: | 1329 Lane Avenue South, Suite 1, JACKSONVILLE, FL, 32205, US |
| ZIP code: | 32205 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982952487 | 2012-08-15 | 2012-08-15 | 1329 LANE AVE S STE 1, JACKSONVILLE, FL, 322056111, US | 1329 LANE AVE S STE 1, JACKSONVILLE, FL, 322056111, US | |||||||||||||||||||
|
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| Phone | +1 904-738-7856 |
| Phone | +1 904-683-0415 |
Authorized person
| Name | DR. CARLOS JAVIER SANTIAGO |
| Role | OWNER |
| Phone | 9047387735 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | 13959 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NEXGEN ACCOUNTANTS LLC | Agent |
| Name | Role | Address |
|---|---|---|
| ROY E, BARKOE, DDS, P.A. | President | 1329 Lane ave south, JACKSONVILLE, FL, 32205 |
| Name | Role | Address |
|---|---|---|
| ROY E, BARKOE, DDS, P.A. | Secretary | 1329 Lane ave south, JACKSONVILLE, FL, 32205 |
| Name | Role | Address |
|---|---|---|
| ROY E, BARKOE, DDS, P.A. | Treasurer | 1329 Lane ave south, JACKSONVILLE, FL, 32205 |
| Name | Role | Address |
|---|---|---|
| ROY E, BARKOE, DDS, P.A. | Director | 1329 Lane ave south, JACKSONVILLE, FL, 32205 |
| Name | Role | Address |
|---|---|---|
| LAURA CORDOBA | Manager | 1329 LANE AVENUE SOUTH,, JACKSONVILLE, FL, 32205 |
| Clarence Pittman III | Manager | 1329 Lane Avenue South, Suite 1, JACKSONVILLE, FL, 32205 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000012038 | 1 DAY DENTURE | EXPIRED | 2011-01-31 | 2016-12-31 | No data | 300 NORWOOD DR, KINGSLAND, GA, 31548 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-28 | 9424 BAYMEADOWS RD, STE 250, JACKSONVILLE, FL 32256 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-02-02 | 1329 Lane Avenue South, Suite 1, JACKSONVILLE, FL 32205 | No data |
| CHANGE OF MAILING ADDRESS | 2017-02-02 | 1329 Lane Avenue South, Suite 1, JACKSONVILLE, FL 32205 | No data |
| AMENDMENT | 2016-09-09 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-04-30 | NEXGEN ACCOUNTANTS LLC | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000469620 | TERMINATED | 1000000278236 | DUVAL | 2012-05-29 | 2022-06-06 | $ 814.94 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-11 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-02-02 |
| Amendment | 2016-09-09 |
| ANNUAL REPORT | 2016-04-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
