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PERIODONTAL ASSOCIATES OF NORTH FLORIDA PLLC

PERIODONTAL ASSOCIATES OF NORTH FLORIDA PLLC

Company Details

Entity Name:	PERIODONTAL ASSOCIATES OF NORTH FLORIDA PLLC
Jurisdiction:	FLORIDA
Filing Type:	Florida Limited Liability Co.
Status:	Active
Date Filed:	29 Jun 2017 (8 years ago)
Document Number:	L17000141150
FEI/EIN Number	82-2044232
Address:	2160 Capital Cir NE, Suite 100, TALLAHASSEE, FL, 32308, US
Mail Address:	2160 Capital Cir NE, Suite 100, TALLAHASSEE, FL, 32308, US
ZIP code:	32308
County:	Leon
Place of Formation:	FLORIDA

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1295245181

2017-10-04

2017-10-04

2160 CAPITAL CIR NE STE 100, TALLAHASSEE, FL, 323084391, US

2160 CAPITAL CIR NE STE 100, TALLAHASSEE, FL, 323084391, US

Contacts

Phone	+1 850-562-6111
Fax	8505627263

Authorized person

Name	WALTER E. COLON
Role	PRESIDENT/DENTIST
Phone	8505626111

Taxonomy

Taxonomy Code	261QD0000X - Dental Clinic/Center
State	FL
Is Primary	Yes

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

PERIODONTAL ASSOCIATES OF NORTH FLORIDA, PLLC 401(K) PROFIT SHARING

2021

822044232

2022-10-01

PERIODONTAL ASSOCIATES OF NORTH FLORIDA, PLLC

37

File	View Page
Three-digit plan number (PN)	004
Effective date of plan	2007-01-01
Business code	621210
Sponsor’s telephone number	8505626111
Plan sponsor’s address	2160 CAPITAL CIRCLE, NE, SUITE 100, TALLAHASSEE, FL, 32308

PERIODONTAL ASSOCIATES OF NORTH FLORIDA, PLLC 401(K) PROFIT SHARING

2020

822044232

2021-07-22

PERIODONTAL ASSOCIATES OF NORTH FLORIDA, PLLC

34

File	View Page
Three-digit plan number (PN)	004
Effective date of plan	2007-01-01
Business code	621210
Sponsor’s telephone number	8505626111
Plan sponsor’s address	2160 CAPITAL CIRCLE, NE, SUITE 100, TALLAHASSEE, FL, 32308

PERIODONTAL ASSOCIATES OF NORTH FLORIDA, PLLC 401(K) PROFIT SHARING

2019

822044232

2020-08-06

PERIODONTAL ASSOCIATES OF NORTH FLORIDA, PLLC

32

File	View Page
Three-digit plan number (PN)	004
Effective date of plan	2007-01-01
Business code	621210
Sponsor’s telephone number	8505626111
Plan sponsor’s address	2160 CAPITAL CIRCLE, NE, SUITE 100, TALLAHASSEE, FL, 32308

PERIODONTAL ASSOCIATES OF NORTH FLORIDA, PLLC 401(K) PROFIT SHARING

2018

822044232

2019-08-19

PERIODONTAL ASSOCIATES OF NORTH FLORIDA, PLLC

27

File	View Page
Three-digit plan number (PN)	004
Effective date of plan	2007-01-01
Business code	621210
Sponsor’s telephone number	8505626111
Plan sponsor’s address	2160 CAPITAL CIRCLE, NE, SUITE 100, TALLAHASSEE, FL, 32308

PERIODONTAL ASSOCIATES OF NORTH FLORIDA, PLLC 401(K) PROFIT SHARING PLAN

2017

822044232

2018-09-17

PERIODONTAL ASSOCIATES OF NORTH FLORIDA, PLLC

27

File	View Page
Three-digit plan number (PN)	004
Effective date of plan	2007-01-01
Business code	621210
Sponsor’s telephone number	8505626111
Plan sponsor’s address	2160 CAPITAL CIRCLE, NE, SUITE 100, TALLAHASSEE, FL, 32308

Agent

Name	Role
AUSLEY & MCMULLEN, P.A.	Agent

Manager

Name	Role	Address
COLON WALTER EII	Manager	2160 Capital Circle NE, TALLAHASSEE, FL, 32308

Events

Event Type	Filed Date	Value	Description
CHANGE OF PRINCIPAL ADDRESS	2018-03-30	2160 Capital Cir NE, Suite 100, TALLAHASSEE, FL 32308	No data
CHANGE OF MAILING ADDRESS	2018-03-30	2160 Capital Cir NE, Suite 100, TALLAHASSEE, FL 32308	No data

Documents

Name	Date
ANNUAL REPORT	2024-02-01
ANNUAL REPORT	2023-04-04
ANNUAL REPORT	2022-03-07
ANNUAL REPORT	2021-02-01
ANNUAL REPORT	2020-01-17
ANNUAL REPORT	2019-04-01
ANNUAL REPORT	2018-03-30
Florida Limited Liability	2017-06-29

Date of last update: 01 Feb 2025

Sources: Florida Department of State