| Entity Name: | POMPANO BEACH PERIODONTICS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 25 Feb 2011 (14 years ago) |
| Date of dissolution: | 20 Jul 2017 (8 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 20 Jul 2017 (8 years ago) |
| Document Number: | L11000023918 |
| FEI/EIN Number | 27-5250306 |
| Address: | 2231 NORTHEAST 25TH AVENUE, SUITE 4, POMPANO BEACH, FL 33062 |
| Mail Address: | 2231 NORTHEAST 25TH AVENUE, SUITE 4, POMPANO BEACH, FL 33062 |
| ZIP code: | 33062 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972930774 | 2013-10-11 | 2013-10-11 | 2231 NE 25TH AVE, SUITE 4, POMPANO BEACH, FL, 330621148, US | 2231 NE 25TH AVE, SUITE 4, POMPANO BEACH, FL, 330621148, US | |||||||||||||||||||
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| Phone | +1 954-782-7911 |
| Fax | 9547827925 |
Authorized person
| Name | DR. JASON A WITONSKY |
| Role | MANAGINGMEMBER |
| Phone | 9547827911 |
Taxonomy
| Taxonomy Code | 1223P0300X - Periodontist |
| License Number | DN18938 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Witonsky, Jason A | Agent | 2231 NE 25th Ave, SUITE 4, Pompano Beach, FL 33062 |
| Name | Role |
|---|---|
| JASON A. WITONSKY, D.M.D., M.S., P.A. | Managing Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2017-07-20 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-03-11 | Witonsky, Jason A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-03-11 | 2231 NE 25th Ave, SUITE 4, Pompano Beach, FL 33062 | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2017-07-20 |
| ANNUAL REPORT | 2017-02-20 |
| ANNUAL REPORT | 2016-04-03 |
| ANNUAL REPORT | 2015-04-23 |
| ANNUAL REPORT | 2014-03-11 |
| ANNUAL REPORT | 2013-02-14 |
| ANNUAL REPORT | 2012-04-11 |
| Florida Limited Liability | 2011-02-25 |
Date of last update: 23 Feb 2025
Sources: Florida Department of State
