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BEACHWALK DENTAL, PA

Company Details

Entity Name: BEACHWALK DENTAL, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 16 Oct 2020 (4 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: P20000083182
FEI/EIN Number 85-3632850
Mail Address: 2801 ST JOHNS BLUFF RD SOUTH, SUITE 101, JACKSONVILLE, FL, 32246, US
Address: 855 COUNTY ROAD 210 WEST,, SUITE A2 AND A3, ST. AUGUSTINE, FL, 32259, US
ZIP code: 32259
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1518699826 2022-06-27 2022-06-27 2801 SAINT JOHNS BLUFF RD S STE 101, JACKSONVILLE, FL, 322463862, US 855 COUNTY ROAD 210 WEST, SUITE A2 AND A3, ST. AUGUSTINE, FL, 32259, US

Contacts

Phone +1 904-998-7000
Phone +1 904-549-9045

Authorized person

Name JESSICA NARDUCCI
Role GENERAL COUNSEL
Phone 9046266023

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Agent

Name Role
LIVEHEALTHY DENTAL, COMPANY Agent

Director

Name Role
LIVEHEALTHY DENTAL, COMPANY Director

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2024-11-15 No data No data
CHANGE OF MAILING ADDRESS 2022-01-23 855 COUNTY ROAD 210 WEST,, SUITE A2 AND A3, ST. AUGUSTINE, FL 32259 No data
REGISTERED AGENT ADDRESS CHANGED 2022-01-23 2801 ST JOHNS BLUFF ROAD SOUTH, SUITE 101, JACKSONVILLE, FL 32246 No data
CHANGE OF PRINCIPAL ADDRESS 2021-01-17 855 COUNTY ROAD 210 WEST,, SUITE A2 AND A3, ST. AUGUSTINE, FL 32259 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2024-11-15
ANNUAL REPORT 2024-02-04
ANNUAL REPORT 2023-01-29
ANNUAL REPORT 2022-01-23
ANNUAL REPORT 2021-01-17
Domestic Profit 2020-10-16

Date of last update: 01 Feb 2025

Sources: Florida Department of State