| Entity Name: | RIVERSIDE DENTAL OF DUNNELLON, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 16 Jul 2019 (6 years ago) |
| Date of dissolution: | 15 Nov 2024 (3 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 15 Nov 2024 (3 months ago) |
| Document Number: | P19000058360 |
| FEI/EIN Number | 84-2549888 |
| Address: | 11352 NORTH WILLIAMS STREET, SUITE 505, DUNNELLON, FL, 34432, US |
| Mail Address: | 2801 ST JOHNS BLUFF RD SOUTH, SUITE 101, JACKSONVILLE, FL, 32246, US |
| ZIP code: | 34432 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518556679 | 2021-01-13 | 2021-01-28 | 2801 SAINT JOHNS BLUFF RD S STE 201, JACKSONVILLE, FL, 322463862, US | 11352 N WILLIAMS ST STE 505, DUNNELLON, FL, 344328312, US | |||||||||||||||||
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| Phone | +1 904-998-7000 |
| Fax | 9049987702 |
| Phone | +1 352-533-5030 |
Authorized person
| Name | DR. NICHOLAS A. NARDUCCI |
| Role | PRESIDENT/CEO |
| Phone | 9049987000 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| LIVEHEALTHY DENTAL, COMPANY | Agent |
| Name | Role |
|---|---|
| LIVEHEALTHY DENTAL, COMPANY | Director |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-11-15 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-23 | 11352 NORTH WILLIAMS STREET, SUITE 505, DUNNELLON, FL 34432 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-23 | 11352 NORTH WILLIAMS STREET, SUITE 505, DUNNELLON, FL 34432 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-23 | 2801 ST JOHNS BLUFF RD SOUTH, SUITE 101, JACKSONVILLE, FL 32246 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-01-16 | LIVEHEALTHY DENTAL, COMPANY | No data |
| NAME CHANGE AMENDMENT | 2020-06-15 | RIVERSIDE DENTAL OF DUNNELLON, PA | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-11-15 |
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-01-16 |
| Name Change | 2020-06-15 |
| ANNUAL REPORT | 2020-01-20 |
| Domestic Profit | 2019-07-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
