Search icon

JACKSONVILLE FAMILY DENTISTRY AT SOUTHSIDE, INC - Florida Company Profile

Company Details

Entity Name: JACKSONVILLE FAMILY DENTISTRY AT SOUTHSIDE, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

JACKSONVILLE FAMILY DENTISTRY AT SOUTHSIDE, INC is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 18 Sep 2017 (8 years ago)
Date of dissolution: 01 Oct 2020 (5 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 01 Oct 2020 (5 years ago)
Document Number: P17000075479
FEI/EIN Number 82-2805836

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 8101 SOUTHSIDE BLVD, #8, JACKSONVILLE, FL, 32256
Mail Address: 4366 Seabreeze Dr, Jacksonville Beach, FL, 32250, US
ZIP code: 32256
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073024006 2017-10-17 2017-10-17 100 FAIRWAY PARK BLVD UNIT 512, PONTE VEDRA BEACH, FL, 320822667, US 8101 SOUTHSIDE BLVD STE 8, JACKSONVILLE, FL, 322568005, US

Contacts

Phone +1 904-210-5348
Phone +1 904-641-2655

Authorized person

Name DR. BRYAN KEITH BLANKENSHIP
Role PRESIDENT
Phone 9042105348

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number 16941
State FL
Is Primary Yes

Key Officers & Management

Name Role Address
BLANKENSHIP BRYAN KDDS President 4366 Seabreeze Dr, Jacksonville Beach, FL, 32250
Blankenship APRIL M Secretary 4366 Seabreeze Dr, Jacksonville Beach, FL, 32250
BLANKENSHIP BRYAN KDDS Agent 4366 Seabreeze Dr, Jacksonville Beach, FL, 32250

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000122619 DR JAMES E. GAFF EXPIRED 2017-11-07 2022-12-31 - 8101 SOUTHSIDE BLVD #8, JACKSONVILLE, FL, 32256

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2020-10-01 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 - -
CHANGE OF MAILING ADDRESS 2018-04-11 8101 SOUTHSIDE BLVD, #8, JACKSONVILLE, FL 32256 -
REGISTERED AGENT ADDRESS CHANGED 2018-04-11 4366 Seabreeze Dr, Jacksonville Beach, FL 32250 -

Documents

Name Date
VOLUNTARY DISSOLUTION 2020-10-01
ANNUAL REPORT 2019-04-02
ANNUAL REPORT 2018-04-11
Domestic Profit 2017-09-18

Date of last update: 03 Apr 2025

Sources: Florida Department of State