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FAMILY DENTISTRY OF BONIFAY, L.L.C.

Company Details

Entity Name: FAMILY DENTISTRY OF BONIFAY, L.L.C.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 27 Aug 2009 (15 years ago)
Document Number: L09000083329
FEI/EIN Number 271558218
Address: 110 E. NORTH AVE, BONIFAY, FL, 32425
Mail Address: 110 E. NORTH AVE, BONIFAY, FL, 32425
ZIP code: 32425
County: Holmes
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558303156 2006-06-11 2022-07-21 110 E NORTH AVE, BONIFAY, FL, 324251715, US 110 E NORTH AVE, BONIFAY, FL, 324251715, US

Contacts

Phone +1 850-547-9290
Fax 8505474181

Authorized person

Name STAN M PARKER
Role DOCTOR
Phone 8505479290

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
State FL
Is Primary Yes

Agent

Name Role Address
PARKER Megan H Agent 110 E. NORTH AVE, BONIFAY, FL, 32425

Manager

Name Role Address
HOOPER ERNEST MDr. Manager 110 E. NORTH AVE, BONIFAY, FL, 32425
WILSON JOHN MDr. Manager 110 E. NORTH AVENUE, BONIFAY, FL, 32425
PARKER BRIAN ADr. Manager 110 E. NORTH AVENUE, BONIFAY, FL, 32425
WHITAKER HILARY TDr. Manager 110 E. NORTH AVENUE, BONIFAY, FL, 32425

Secretary

Name Role Address
PARKER Megan H Secretary 110 E. NORTH AVENUE, BONIFAY, FL, 32425

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2015-01-14 PARKER, Megan H No data
CHANGE OF PRINCIPAL ADDRESS 2011-01-08 110 E. NORTH AVE, BONIFAY, FL 32425 No data
CHANGE OF MAILING ADDRESS 2011-01-08 110 E. NORTH AVE, BONIFAY, FL 32425 No data
REGISTERED AGENT ADDRESS CHANGED 2011-01-08 110 E. NORTH AVE, BONIFAY, FL 32425 No data

Documents

Name Date
ANNUAL REPORT 2024-02-07
ANNUAL REPORT 2023-03-13
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-02-02
ANNUAL REPORT 2020-02-17
ANNUAL REPORT 2019-02-15
ANNUAL REPORT 2018-01-23
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-03-29
ANNUAL REPORT 2015-01-14

Date of last update: 03 Feb 2025

Sources: Florida Department of State