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FAMILY DENTISTRY OF BONIFAY, L.L.C. - Florida Company Profile

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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 (16 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
City: Bonifay
County: Holmes
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HOOPER ERNEST MDr. Manager 110 E. NORTH AVE, BONIFAY, FL, 32425
PARKER Megan H Secretary 110 E. NORTH AVENUE, 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
PARKER Megan H Agent 110 E. NORTH AVE, BONIFAY, FL, 32425

National Provider Identifier

NPI Number:
1558303156

Authorized Person:

Name:
STAN M PARKER
Role:
DOCTOR
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
8505474181

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2015-01-14 PARKER, Megan H -
CHANGE OF PRINCIPAL ADDRESS 2011-01-08 110 E. NORTH AVE, BONIFAY, FL 32425 -
CHANGE OF MAILING ADDRESS 2011-01-08 110 E. NORTH AVE, BONIFAY, FL 32425 -
REGISTERED AGENT ADDRESS CHANGED 2011-01-08 110 E. NORTH AVE, BONIFAY, FL 32425 -

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

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Date of last update: 03 Aug 2025

Sources: Florida Department of State