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JC FAMILY DENTISTRY PA

Company Details

Entity Name: JC FAMILY DENTISTRY PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 23 Mar 2018 (7 years ago)
Document Number: P18000028418
FEI/EIN Number 82-4913173
Address: 485 STATE ROAD 13, 4, ST JOHN'S, FL, 32259
Mail Address: 485 STATE ROAD 13, 4, ST JOHN'S, FL, 32259
ZIP code: 32259
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1518464866 2018-04-11 2018-04-11 485 STATE ROAD 13 STE 4, SAINT JOHNS, FL, 322592993, US 485 STATE ROAD 13 STE 4, SAINT JOHNS, FL, 322592993, US

Contacts

Phone +1 904-230-2961

Authorized person

Name JONATHAN COHEN
Role PRESIDENT
Phone 9042302961

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes

Agent

Name Role Address
COHEN JONATHAN Agent 485 STATE ROAD 13, ST JOHN'S, FL, 32259

President

Name Role Address
COHEN JONATHAN President 485 STATE ROAD 13 SUITE 4, ST JOHN'S, FL, 32259

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000113246 JULINGTON CREEK DENTISTRY ACTIVE 2021-09-01 2026-12-31 No data 485 STATE ROAD 13 N, SUITE #4, ST. JOHNS, FL, 32259

Documents

Name Date
ANNUAL REPORT 2024-04-07
ANNUAL REPORT 2023-04-11
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-04-07
ANNUAL REPORT 2020-03-20
ANNUAL REPORT 2019-02-07
Domestic Profit 2018-03-23

Date of last update: 02 Feb 2025

Sources: Florida Department of State