| Entity Name: | CARL CLINTON WILKINSON, III, D.M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 12 Sep 2003 (21 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P03000100432 |
| FEI/EIN Number | 20-0227353 |
| Address: | 1300 WEST EAU GALLIE BOULEVARD, SUITE B, MELBOURNE, FL 32935 |
| Mail Address: | 2550 WILDWOOD DRIVE, MELBOURNE, FL 32935 |
| ZIP code: | 32935 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467546713 | 2006-10-03 | 2020-08-22 | 1300 W EAU GALLIE BLVD, SUITE B, MELBOURNE, FL, 329355318, US | 1300 W EAU GALLIE BLVD, SUITE B, MELBOURNE, FL, 329355318, US | |||||||||||||||||||
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| Phone | +1 321-254-4111 |
| Fax | 3212540071 |
Authorized person
| Name | DR. CARL CLINTON WILKINSON III |
| Role | PRESIDENT |
| Phone | 3212544111 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 9357 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KINBERG, EDWARD J | Agent | 1290 WEST EAU GALLIE BOULEVARD, MELBOURNE, FL 32935 |
| Name | Role | Address |
|---|---|---|
| WILKINSON, CARL CIII | Director | 2550 WILDWOOD DRIVE, MELBOURNE, FL 32935 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2010-02-10 | 1300 WEST EAU GALLIE BOULEVARD, SUITE B, MELBOURNE, FL 32935 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-02-10 | KINBERG, EDWARD J | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-02-10 | 1290 WEST EAU GALLIE BOULEVARD, MELBOURNE, FL 32935 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-01-14 | 1300 WEST EAU GALLIE BOULEVARD, SUITE B, MELBOURNE, FL 32935 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-28 |
| ANNUAL REPORT | 2014-04-18 |
| ANNUAL REPORT | 2013-04-29 |
| ANNUAL REPORT | 2012-04-30 |
| ANNUAL REPORT | 2011-03-10 |
| ANNUAL REPORT | 2010-02-10 |
| ANNUAL REPORT | 2009-04-09 |
| ANNUAL REPORT | 2008-01-12 |
| ANNUAL REPORT | 2007-02-08 |
| ANNUAL REPORT | 2006-01-03 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State
