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DIANNE S. MORSE FAMILY DENTISTRY, PLLC

Company Details

Entity Name: DIANNE S. MORSE FAMILY DENTISTRY, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 03 Dec 2012 (12 years ago)
Document Number: L12000151287
FEI/EIN Number 46-1495928
Address: 2199 A1A SOUTH, ST AUGUSTINE, FL, 32080, US
Mail Address: 2199 A1A SOUTH, ST AUGUSTINE, FL, 32080, US
ZIP code: 32080
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326383159 2012-12-05 2012-12-05 2199 A1A S, ST AUGUSTINE, FL, 320806513, US 2199 A1A S, ST AUGUSTINE, FL, 320806513, US

Contacts

Phone +1 904-471-3300
Fax 9044715240

Authorized person

Name DR. DIANNE S. MORSE
Role OWNER
Phone 9044713300

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DIANNE S MORSE FAMILY DENTISTR 401 K PROFIT SHARING PLAN TRUST 2012 461495928 2013-07-02 DIANNE S MORSE FAMILY DENTISTRY 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 9044713300
Plan sponsor’s address DENTISTRY, 2199 A1A SOUTH, SAINT AUGUSTINE, FL, 32080

Signature of

Role Plan administrator
Date 2013-07-02
Name of individual signing DIANNE S MORSE FAMILY DENTISTRY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MORSE DIANNE SDDS Agent 2199 A1A SOUTH, ST AUGUSTINE, FL, 32080

Managing Member

Name Role Address
MORSE DIANNE S Managing Member 2199 A1A SOUTH, ST AUGUSTINE, FL, 32080

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-01-01 2199 A1A SOUTH, ST AUGUSTINE, FL 32080 No data
CHANGE OF MAILING ADDRESS 2025-01-01 2199 A1A SOUTH, ST AUGUSTINE, FL 32080 No data
CHANGE OF PRINCIPAL ADDRESS 2024-01-01 2199 A1A SOUTH, ST AUGUSTINE, FL 32080 No data
CHANGE OF MAILING ADDRESS 2024-01-01 2199 A1A SOUTH, ST AUGUSTINE, FL 32080 No data
REGISTERED AGENT NAME CHANGED 2013-03-19 MORSE, DIANNE S, DDS No data

Documents

Name Date
ANNUAL REPORT 2024-02-14
ANNUAL REPORT 2023-01-17
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-02-10
ANNUAL REPORT 2020-03-16
ANNUAL REPORT 2019-04-01
ANNUAL REPORT 2018-02-26
ANNUAL REPORT 2017-02-15
ANNUAL REPORT 2016-03-02
ANNUAL REPORT 2015-01-19

Date of last update: 02 Feb 2025

Sources: Florida Department of State