| Entity Name: | HAMMOCK BAY DENTAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Dec 2022 (2 years ago) |
| Document Number: | L22000528141 |
| FEI/EIN Number | 92-2416680 |
| Address: | 746 BALDWIN AVE, DEFUNIAK SPRINGS, FL, 32435, US |
| Mail Address: | 746 BALDWIN AVE, DEFUNIAK SPRINGS, FL, 32435, US |
| ZIP code: | 32435 |
| County: | Walton |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578393708 | 2024-08-02 | 2024-08-13 | 1484 GREAT HAMMOCK BEND, FREEPORT, FL, 32439, US | 1848 GREAT HAMMOCK BEND, FREEPORT, FL, 32439, US | |||||||||||||
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| Phone | +1 850-892-0866 |
Authorized person
| Name | MARSHALL COLLIN MYRICK |
| Role | MANAGER |
| Phone | 8504280901 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Burke Blue C/O Daniel S Rosenheim | Agent | 16215 Panama City Beach Pkwy, Panama City Beach, FL, 32413 |
| Name | Role | Address |
|---|---|---|
| MYRICK MARSHALL C | Manager | 746 BALDWIN AVE, DEFUNIAK SPRINGS, FL, 32435 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-04-13 | Burke Blue C/O Daniel S Rosenheim | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-13 | 16215 Panama City Beach Pkwy, Panama City Beach, FL 32413 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-12 |
| ANNUAL REPORT | 2023-04-13 |
| Florida Limited Liability | 2022-12-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
