| Entity Name: | BEN LEWIS, D.D.S., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 11 Jan 2006 (19 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P06000004187 |
| FEI/EIN Number | 204093000 |
| Mail Address: | PO BOX 551260, JACKSONVILLE, FL, 32255 |
| Address: | 11550 HIDDEN HARBOR WAY, JACKSONVILLE, FL, 32223 |
| ZIP code: | 32223 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003858754 | 2006-06-10 | 2020-08-22 | 11550 HIDDEN HARBOR WAY, JACKSONVILLE, FL, 322231368, US | 425 N LEE ST, JACKSONVILLE, FL, 322041127, US | |||||||||||||||||||
|
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| Phone | +1 904-268-1314 |
| Phone | +1 904-366-3736 |
Authorized person
| Name | DR. BEN LEWIS |
| Role | PRESIDENT |
| Phone | 9042681314 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DS |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ANSBACHER & SCHNEIDER, P.A. | Agent | 5150 BELFORT ROAD BLDG 100, JACKSONVILLE, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| LEWIS BEN D | Director | 11550 HIDDEN HARBOR WAY, JACKSONVILLE, FL, 32223 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-04-01 |
| ANNUAL REPORT | 2007-04-18 |
| Domestic Profit | 2006-01-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
