| Entity Name: | FLORIDA INSTITUTE OF OROFACIAL MYOLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 04 Mar 2009 (16 years ago) |
| Date of dissolution: | 07 May 2013 (12 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 07 May 2013 (12 years ago) |
| Document Number: | L09000021447 |
| FEI/EIN Number | 26-4389919 |
| Mail Address: | 6059 SABAL CREEK BLVD., PORT ORANGE, FL 32128 |
| Address: | 3959 S. NOVA RD., BLDG, B 28, PORT ORANGE, FL 32127 |
| ZIP code: | 32127 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730329509 | 2009-03-05 | 2009-03-05 | 6059 SABAL CREEK BLVD, PORT ORANGE, FL, 321287136, US | 3930 S NOVA RD, PORT ORANGE, FL, 321279281, US | |||||||||||||||||||
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| Phone | +1 386-846-8956 |
| Fax | 6036874663 |
Authorized person
| Name | MS. BETH A THOMPSON |
| Role | OWNER |
| Phone | 3868468956 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | 8897 |
| State | MA |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| THOMPSON, BETH A | Agent | 6059 SABAL CREEK BLVD., PORT ORANGE, FL 32128 |
| Name | Role | Address |
|---|---|---|
| THOMPSON, BETH A | Manager | 6059 SABAL CREEK BLVD., PORT ORANGE, FL 32128 |
| VUOLO, STEPHEN W | Manager | 6059 SABAL CREEK BLVD., PORT ORANGE, FL 32128 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2013-05-07 | No data | No data |
| REINSTATEMENT | 2011-10-03 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-09-22 | 3959 S. NOVA RD., BLDG, B 28, PORT ORANGE, FL 32127 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-15 |
| REINSTATEMENT | 2011-10-03 |
| ADDRESS CHANGE | 2010-09-22 |
| ANNUAL REPORT | 2010-02-07 |
| Florida Limited Liability | 2009-03-04 |
Date of last update: 26 Jan 2025
Sources: Florida Department of State
