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WILLIAM J BONNER MD, LLC

Company Details

Entity Name: WILLIAM J BONNER MD, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 01 Sep 2021 (3 years ago)
Date of dissolution: 22 Sep 2023 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (a year ago)
Document Number: L21000390354
FEI/EIN Number 87-2455124
Address: 520 CORAL LANE, KEY LARGO, FL, 33037
Mail Address: 520 CORAL LANE, KEY LARGO, FL, 33037
ZIP code: 33037
County: Monroe
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730858184 2021-09-09 2021-09-16 520 CORAL LN, KEY LARGO, FL, 330375127, US 520 CORAL LN, KEY LARGO, FL, 330375127, US

Contacts

Phone +1 610-529-4407

Authorized person

Name DR. WILLIAM JAMES BONNER
Role OWNER
Phone 6105294407

Taxonomy

Taxonomy Code 208100000X - Physical Medicine & Rehabilitation Physician
Is Primary Yes

Agent

Name Role Address
BONNER WILLIAM J Agent 520 CORAL LANE, KEY LARGO, FL, 33037

Manager

Name Role Address
BONNER WILLIAM J Manager 520 CORAL LANE, KEY LARGO, FL, 33037

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data

Documents

Name Date
ANNUAL REPORT 2022-03-17
Florida Limited Liability 2021-09-01

Date of last update: 02 Feb 2025

Sources: Florida Department of State