| Entity Name: | MICHAEL T. O'DONNELL, D.M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 20 Aug 2004 (20 years ago) |
| Document Number: | P04000120757 |
| FEI/EIN Number | 20-1535125 |
| Address: | 6757 US HIGHWAY 98, SANTA ROSA BEACH, FL 32459 |
| Mail Address: | 755 GRAND BLVD, SUITE 105B 285, MIRAMAR BEACH, FL 32550 |
| ZIP code: | 32459 |
| County: | Walton |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356438659 | 2006-10-06 | 2020-08-22 | 870 MACK BAYOU RD, STE. A, SANTA ROSA BEACH, FL, 324597150, US | 870 MACK BAYOU RD, STE. A, SANTA ROSA BEACH, FL, 324597150, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 850-622-5888 |
| Fax | 8506220072 |
Authorized person
| Name | MICHAEL O'DONNELL |
| Role | PRESIDENT |
| Phone | 8506225888 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN 16800 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BARKER WILLIAMS, PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| O'DONNELL, MICHAEL T | President | 755 GRAND BLVD, SUITE 105B 285 MIRAMAR BEACH, FL 32550 |
| Name | Role | Address |
|---|---|---|
| O'DONNELL, MICHAEL T | Secretary | 755 GRAND BLVD, SUITE 105B 285 MIRAMAR BEACH, FL 32550 |
| Name | Role | Address |
|---|---|---|
| O'DONNELL, MICHAEL T | Treasurer | 755 GRAND BLVD, SUITE 105B 285 MIRAMAR BEACH, FL 32550 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000071282 | GREAT FLORIDA SMILES | ACTIVE | 2023-06-12 | 2028-12-31 | No data | 6757 US HIGHWAY 98, SANTA ROSA BEACH, FL, 32459 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-15 | Barker Williams, PLLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-15 | 60 Clayton Lane, Santa Rosa Beach, FL 32459 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-04 | 6757 US HIGHWAY 98, SANTA ROSA BEACH, FL 32459 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-10 | 6757 US HIGHWAY 98, SANTA ROSA BEACH, FL 32459 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-04-04 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-04-16 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-10 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-27 |
Date of last update: 05 Jan 2025
Sources: Florida Department of State
