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FOREST PARK SMILES ON 11TH, PLLC - Florida Company Profile

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Company Details

Entity Name: FOREST PARK SMILES ON 11TH, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
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
Address: 707 Jenks Ave, PANAMA CITY, FL, 32405, US
Mail Address: 707 Jenks Ave, PANAMA CITY, FL, 32405, US
ZIP code: 32405
City: Panama City
County: Bay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
THOMPSON KRISTA President 707 Jenks Ave, PANAMA CITY, FL, 32405
- Agent -

National Provider Identifier

NPI Number:
1013438092

Authorized Person:

Name:
SUSAN STEWART
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Events

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 - -

Documents

Name Date
REINSTATEMENT 2019-11-22
ANNUAL REPORT 2018-04-16
Florida Limited Liability 2017-05-23

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Date of last update: 03 Aug 2025

Sources: Florida Department of State