| Entity Name: | PAMELA OTTESEN DMD LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 23 Sep 2013 (11 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 12 Dec 2022 (2 years ago) |
| Document Number: | L13000134275 |
| FEI/EIN Number | 46-3731190 |
| Address: | 1536 JOHN SIMS PKWY, NICEVILLE, FL 32578 |
| Mail Address: | 1536 JOHN SIMS PKWY, NICEVILLE, FL 32578 |
| ZIP code: | 32578 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538586136 | 2014-03-21 | 2021-02-15 | 2030 KILDARE CIR, NICEVILLE, FL, 325787308, US | 1536 JOHN SIMS PKWY, NICEVILLE, FL, 32578, US | |||||||||||||||||
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| Phone | +1 850-582-1009 |
Authorized person
| Name | DR. PAMELA OTTESEN |
| Role | DENTIST |
| Phone | 8505821009 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| OTTESEN, PAMELA A | Agent | 1536 JOHN SIMS PKWY, NICEVILLE, FL 32578 |
| Name | Role | Address |
|---|---|---|
| OTTESEN, PAMELA A | Managing Member | 1536 JOHN SIMS PKWY, NICEVILLE, FL 32578 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2022-12-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| LC NAME CHANGE | 2020-11-30 | PAMELA OTTESEN DMD LLC | No data |
| REINSTATEMENT | 2019-10-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-10-16 | OTTESEN, PAMELA A | No data |
| REINSTATEMENT | 2017-10-16 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-05-13 | 1536 JOHN SIMS PKWY, NICEVILLE, FL 32578 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-05-13 | 1536 JOHN SIMS PKWY, NICEVILLE, FL 32578 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-10 |
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-01-22 |
| REINSTATEMENT | 2022-12-12 |
| ANNUAL REPORT | 2021-04-11 |
| LC Name Change | 2020-11-30 |
| ANNUAL REPORT | 2020-03-16 |
| REINSTATEMENT | 2019-10-14 |
| ANNUAL REPORT | 2018-01-23 |
| REINSTATEMENT | 2017-10-16 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 9709038302 | 2021-01-31 | 0491 | PPS | 1536 John Sims Pkwy E, Niceville, FL, 32578-2138 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 21 Feb 2025
Sources: Florida Department of State
