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RIVER CITY PEDIATRIC DENTISTRY, P.A.

Company Details

Entity Name: RIVER CITY PEDIATRIC DENTISTRY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 14 Sep 2012 (12 years ago)
Date of dissolution: 29 Apr 2022 (3 years ago)
Last Event: VOLUNTARY DISS W/ NOTICE
Event Date Filed: 29 Apr 2022 (3 years ago)
Document Number: P12000078609
FEI/EIN Number 46-1060824
Mail Address: 3020 Hartley Road, Suite 210, Jacksonville, FL, 32257, US
Address: 9857 OLD ST. AUGUSTINE ROAD, SUITE 3, JACKSONVILLE, FL, 32257
ZIP code: 32257
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952648396 2013-01-04 2013-01-04 9857 OLD SAINT AUGUSTINE RD, SUITE 3, JACKSONVILLE, FL, 322578853, US 9857 OLD SAINT AUGUSTINE RD, SUITE 3, JACKSONVILLE, FL, 322578853, US

Contacts

Phone +1 904-880-5437
Fax 9048801490

Authorized person

Name DR. LINDSAY GREMILLION MAPLES
Role PRESIDENT
Phone 9048805437

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number DN18271
State FL
Is Primary Yes

Agent

Name Role Address
Weaver Andrew Agent 3020 Hartley Road, Suite 210, Jacksonville, FL, 32257

Director

Name Role Address
Weaver Robert VDMD Director 3020 Hartley Road, Suite 210, Jacksonville, FL, 32257
Weaver Patrick JDMD Director 3020 Hartley Road, Suite 210, Jacksonville, FL, 32257

Events

Event Type Filed Date Value Description
VOLUNTARY DISS W/ NOTICE 2022-04-29 No data No data
CHANGE OF MAILING ADDRESS 2021-01-05 9857 OLD ST. AUGUSTINE ROAD, SUITE 3, JACKSONVILLE, FL 32257 No data
REGISTERED AGENT NAME CHANGED 2021-01-05 Weaver, Andrew No data
REGISTERED AGENT ADDRESS CHANGED 2021-01-05 3020 Hartley Road, Suite 210, Jacksonville, FL 32257 No data

Documents

Name Date
CORAPVDWN 2022-04-29
ANNUAL REPORT 2021-01-05
ANNUAL REPORT 2020-02-15
ANNUAL REPORT 2019-04-18
ANNUAL REPORT 2018-03-10
ANNUAL REPORT 2017-03-16
ANNUAL REPORT 2016-03-07
ANNUAL REPORT 2015-02-20
ANNUAL REPORT 2014-03-03
ANNUAL REPORT 2013-04-04

Date of last update: 03 Feb 2025

Sources: Florida Department of State