| Entity Name: | AFFORDABLE DENTURES & IMPLANTS - NORTH JACKSONVILLE III, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 26 Apr 2024 (9 months ago) |
| Document Number: | P24000030257 |
| FEI/EIN Number | 99-2925214 |
| Mail Address: | 629 DAVIS DRIVE, SUITE 300, MORRISVILLE, NC 27560 |
| Address: | 800 DUNN AVENUE, JACKSONVILLE, FL 32218 |
| ZIP code: | 32218 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740001668 | 2024-10-23 | 2024-10-23 | 800 DUNN AVE, JACKSONVILLE, FL, 322184803, US | 800 DUNN AVE, JACKSONVILLE, FL, 322184803, US | |||||||||||||
|
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| Phone | +1 904-240-1941 |
Authorized person
| Name | KEVIN WIMAN |
| Role | OWNER |
| Phone | 9042401941 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NRAI SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| WIMAN, KEVIN | President | 800 DUNN AVENUE, JACKSONVILLE, FL 32218 |
| Name | Role | Address |
|---|---|---|
| LASSETER, ANNA | Secretary | 629 DAVIS DRIVE SUITE 300, MORRISVILLE, NC 27560 |
| Name | Role | Address |
|---|---|---|
| WIMAN, KEVIN | Treasurer | 800 DUNN AVENUE, JACKSONVILLE, FL 32218 |
| Name | Role | Address |
|---|---|---|
| GAINES, BRETT | Assistant Treasurer | 629 DAVIS DRIVE SUITE 300, MORRISVILLE, NC 27560 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000062809 | AFFORDABLE DENTURES & IMPLANTS - NORTH JACKSONVILLE | ACTIVE | 2024-05-14 | 2029-12-31 | No data | 629 DAVIS DRIVE SUITE 300, MORRISVILLE, NC, 27560 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-03 |
| Domestic Profit | 2024-04-26 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
