| Entity Name: | KEVON E. RENNIE DMD, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Mar 2016 (9 years ago) |
| Document Number: | P16000026066 |
| FEI/EIN Number | 811949572 |
| Address: | 180 Spanish Marsh Dr., St. Augustine, FL, 32095, US |
| Mail Address: | 180 SPANISH MOSS DRIVE, ST. AUGUSTINE, FL, 32095, US |
| ZIP code: | 32095 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649633470 | 2016-03-30 | 2016-03-30 | PO BOX 3189, SYRACUSE, NY, 132203189, US | 1747 US HIGHWAY 1 S, SAINT AUGUSTINE, FL, 320844238, US | |||||||||||||||||||||||
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| Phone | +1 315-454-6000 |
| Fax | 3154105531 |
| Phone | +1 904-495-0881 |
| Fax | 9048249257 |
Authorized person
| Name | KEVON E RENNIE |
| Role | OWNER |
| Phone | 9044950881 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN21399 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| DFS AGENT, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| KEVON E. RENNIE, DMD | Director | 180 SPANISH MARSH DR, ST. AUGUSTINE, FL, 32095 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000126476 | ASPEN DENTAL | ACTIVE | 2021-09-22 | 2026-12-31 | No data | 281 SANDERS CREEK PARKWAY, EAST SYRACUSE, NY, 13057 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-10-05 | 180 Spanish Marsh Dr., St. Augustine, FL 32095 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-11-25 | 180 Spanish Marsh Dr., St. Augustine, FL 32095 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-26 | DFS AGENT, LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-26 | 1760 N Jog Road, Suite 150, West Palm Beach, FL 33411 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-17 |
| ANNUAL REPORT | 2023-04-02 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-02-06 |
| ANNUAL REPORT | 2020-06-15 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-08-10 |
| ANNUAL REPORT | 2017-04-25 |
| Domestic Profit | 2016-03-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
