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BLUEWATER BAY DENTAL, P.A. - Florida Company Profile

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Company Details

Entity Name: BLUEWATER BAY DENTAL, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 06 Feb 2001 (25 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 14 Aug 2008 (17 years ago)
Document Number: P01000014272
FEI/EIN Number 593696410
Address: 4400 EAST HIGHWAY 20, SUITE 101, MERCHANT'S WALK, NICEVILLE, FL, 32578
Mail Address: 4400 EAST HIGHWAY 20, SUITE 101, MERCHANT'S WALK, NICEVILLE, FL, 32578
ZIP code: 32578
City: Niceville
County: Okaloosa
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BROUTIN OLIVIER Director 4400 E. HWY. 20, STE. 101, MERCHANT'S WALK, NICEVILLE, FL, 32578
BROUTIN OLIVIER Agent 4400 EAST HIGHWAY 20, NICEVILLE, FL, 32578

National Provider Identifier

NPI Number:
1104294669
Certification Date:
2022-03-04

Authorized Person:

Name:
OLIVIER BROUTIN
Role:
DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
593696410
Plan Year:
2023
Number Of Participants:
27
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
33
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000064696 SMILEOLOGY ACTIVE 2022-05-25 2027-12-31 - 4400 EAST HIGHWAY 20,SUITE 101, NICEVILLE, FL, 32578
G19000068283 SMILEOLOGY EXPIRED 2019-06-17 2024-12-31 - 4400 EAST HIGHWAY 20, SUITE 101, NICEVILLE, FL, 32578

Events

Event Type Filed Date Value Description
NAME CHANGE AMENDMENT 2008-08-14 BLUEWATER BAY DENTAL, P.A. -
NAME CHANGE AMENDMENT 2005-02-03 BROUTIN INSTITUTE FOR AESTHETIC DENTISTRY, P.A. -
CANCEL ADM DISS/REV 2003-11-12 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2003-09-19 - -
REGISTERED AGENT NAME CHANGED 2002-11-06 BROUTIN, OLIVIER -
REGISTERED AGENT ADDRESS CHANGED 2002-11-06 4400 EAST HIGHWAY 20, SUITE 101, NICEVILLE, FL 32578 -

Documents

Name Date
ANNUAL REPORT 2024-04-12
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-02-18
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-01-08
ANNUAL REPORT 2018-01-10
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-07-07
ANNUAL REPORT 2015-01-30

USAspending Awards / Financial Assistance

Date:
2020-05-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
120560.00
Total Face Value Of Loan:
120560.00

Paycheck Protection Program

Jobs Reported:
10
Initial Approval Amount:
$120,560
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$120,560
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$121,580.63
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $120,560

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Date of last update: 01 Aug 2025

Sources: Florida Department of State