| Entity Name: | FOREST PARK SMILES ON 11TH, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
FOREST PARK SMILES ON 11TH, PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 23 May 2017 (8 years ago) |
| Date of dissolution: | 25 Sep 2020 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (5 years ago) |
| Document Number: | L17000112889 |
| FEI/EIN Number |
82-2000504
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 707 Jenks Ave, PANAMA CITY, FL, 32405, US |
| Mail Address: | 707 Jenks Ave, PANAMA CITY, FL, 32405, US |
| ZIP code: | 32405 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013438092 | 2017-06-29 | 2017-06-29 | 3150 ZELDA CT, MONTGOMERY, AL, 361062607, US | 1010 W 11TH ST, PANAMA CITY, FL, 324012042, US | |||||||||||||||
|
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| Phone | +1 334-676-2320 |
| Phone | +1 850-763-3622 |
Authorized person
| Name | SUSAN STEWART |
| Role | ADMINISTRATOR |
| Phone | 3346762320 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| THOMPSON KRISTA | President | 707 Jenks Ave, PANAMA CITY, FL, 32405 |
| BLUE WATERS DENTAL GROUP, PA. | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | - | - |
| REINSTATEMENT | 2019-11-22 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2019-11-22 | 707 Jenks Ave, PANAMA CITY, FL 32405 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-11-22 | 707 Jenks Ave, PANAMA CITY, FL 32405 | - |
| CHANGE OF MAILING ADDRESS | 2019-11-22 | 707 Jenks Ave, PANAMA CITY, FL 32405 | - |
| REGISTERED AGENT NAME CHANGED | 2019-11-22 | Blue Waters Dental Group, PA. | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| Name | Date |
|---|---|
| REINSTATEMENT | 2019-11-22 |
| ANNUAL REPORT | 2018-04-16 |
| Florida Limited Liability | 2017-05-23 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
