| Entity Name: | FAMILY DENTISTRY OF ST. CLOUD, PL |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Mar 2010 (15 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 03 Mar 2021 (4 years ago) |
| Document Number: | L10000028151 |
| FEI/EIN Number | 364668174 |
| Address: | 1300 13TH STREET, SUITE B, ST. CLOUD, FL, 34769, US |
| Mail Address: | 1300 13TH STREET, SUITE B, ST. CLOUD, FL, 34769, US |
| ZIP code: | 34769 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669796264 | 2010-03-25 | 2010-03-25 | 1300 13TH ST, SUITE B, SAINT CLOUD, FL, 347694317, US | 1300 13TH ST, SUITE B, SAINT CLOUD, FL, 347694317, US | |||||||||||||||
|
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| Phone | +1 407-892-3326 |
| Fax | 4078924354 |
Authorized person
| Name | DR. MARK STEVEN COLBURN |
| Role | MGRM |
| Phone | 4078923326 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| COLBURN MARK SMGRM | Agent | 1300 13TH STREET, ST. CLOUD, FL, 34769 |
| Name | Role | Address |
|---|---|---|
| COLBURN MARK S | Managing Member | 1300 13TH STREET, SUITE B, ST. CLOUD, FL, 34769 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2021-03-03 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-03-03 | COLBURN, MARK S, MGRM | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-09-16 |
| REINSTATEMENT | 2021-03-03 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-07-03 |
| ANNUAL REPORT | 2016-08-31 |
| ANNUAL REPORT | 2015-04-25 |
| ANNUAL REPORT | 2014-04-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
