| Entity Name: | SUSAN M. WELCH, DDS, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Mar 2004 (21 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 04 Mar 2009 (16 years ago) |
| Document Number: | P04000051442 |
| FEI/EIN Number | 200979365 |
| Address: | 106 WRIGHT PARKWAY SW, FORT WALTON BEACH, FL, 32548 |
| Mail Address: | 106 WRIGHT PARKWAY SW, FORT WALTON BEACH, FL, 32548 |
| ZIP code: | 32548 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467749309 | 2011-06-29 | 2011-06-29 | 106 WRIGHT PKWY SW, FORT WALTON BEACH, FL, 325485208, US | 106 WRIGHT PKWY SW, FORT WALTON BEACH, FL, 325485208, US | |||||||||||||||||||
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| Phone | +1 850-243-1534 |
| Fax | 8502437541 |
Authorized person
| Name | DR. SUSAN M WELCH |
| Role | OWNER/DENTIST |
| Phone | 8502431534 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN15821 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SUSAN M. WELCH, DDS, PA 401(K) PROFIT SHARING PLAN | 2023 | 200979365 | 2024-09-19 | SUSAN M. WELCH, DDS, PA | 5 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| Welch Susan MDr. | Agent | 106 WRIGHT PARKWAY SW, FORT WALTON BEACH, FL, 32548 |
| Name | Role | Address |
|---|---|---|
| WELCH SUSAN M | Director | 106 WRIGHT PARKWAY SW, FORT WALTON BEACH, FL, 32548 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000131703 | WRIGHT PARKWAY DENTAL CENTER | ACTIVE | 2020-10-10 | 2025-12-31 | No data | 106 WRIGHT PARKWAY SW, FORT WALTON BEACH, FL, 32548 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2019-07-15 | Welch, Susan M, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-07-15 | 106 WRIGHT PARKWAY SW, FORT WALTON BEACH, FL 32548 | No data |
| NAME CHANGE AMENDMENT | 2009-03-04 | SUSAN M. WELCH, DDS, PA | No data |
| AMENDMENT AND NAME CHANGE | 2004-08-02 | SUSAN M. FRANSSEN, DDS, PA | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-08-02 | 106 WRIGHT PARKWAY SW, FORT WALTON BEACH, FL 32548 | No data |
| CHANGE OF MAILING ADDRESS | 2004-08-02 | 106 WRIGHT PARKWAY SW, FORT WALTON BEACH, FL 32548 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-03-10 |
| ANNUAL REPORT | 2022-02-16 |
| ANNUAL REPORT | 2021-04-11 |
| ANNUAL REPORT | 2020-03-25 |
| ANNUAL REPORT | 2019-07-15 |
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-03-22 |
| ANNUAL REPORT | 2016-01-27 |
| ANNUAL REPORT | 2015-02-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
