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CHARLES A. HARRELL, D.D.S., P.L.

Company Details

Entity Name: CHARLES A. HARRELL, D.D.S., P.L.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 24 May 2006 (19 years ago)
Date of dissolution: 28 Sep 2012 (12 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2012 (12 years ago)
Document Number: L06000053967
FEI/EIN Number 591167551
Address: 624 S. RIDGEWOOD AVE., SUITE C, DAYTONA BEACH, FL, 32114
Mail Address: 624 S. RIDGEWOOD AVE., SUITE C, DAYTONA BEACH, FL, 32114
ZIP code: 32114
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144244716 2006-07-27 2020-08-22 624 S RIDGEWOOD AVE STE C, DAYTONA BEACH, FL, 321144966, US 624 S RIDGEWOOD AVE STE C, DAYTONA BEACH, FL, 321144966, US

Contacts

Phone +1 386-258-7500
Fax 3862385388

Authorized person

Name MRS. ANNA HARRELL
Role OFFICE MANAGER
Phone 3862587500

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role Address
CHARLES A H Agent 624 S RIDGEWOOD AVE, DAYTONA BEACH, FL, 32114

Managing Member

Name Role Address
HARRELL CHARLES A Managing Member 624 S. RIDGEWOOD AVE. SUITE C, DAYTONA BEACH, FL, 32114

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 No data No data
CANCEL ADM DISS/REV 2009-10-13 No data No data
CHANGE OF PRINCIPAL ADDRESS 2009-10-13 624 S. RIDGEWOOD AVE., SUITE C, DAYTONA BEACH, FL 32114 No data
REGISTERED AGENT ADDRESS CHANGED 2009-10-13 624 S RIDGEWOOD AVE, DAYTONA BEACH, FL 32114 No data
CHANGE OF MAILING ADDRESS 2009-10-13 624 S. RIDGEWOOD AVE., SUITE C, DAYTONA BEACH, FL 32114 No data
REGISTERED AGENT NAME CHANGED 2009-10-13 CHARLES, A HARRELL No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data

Documents

Name Date
ANNUAL REPORT 2011-01-04
ANNUAL REPORT 2010-01-05
REINSTATEMENT 2009-10-13
ANNUAL REPORT 2008-01-07
ANNUAL REPORT 2007-01-18
Florida Limited Liability 2006-05-24

Date of last update: 02 Feb 2025

Sources: Florida Department of State