| Entity Name: | EMERALD COAST DENTAL SPA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 16 May 2006 (19 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | P06000068941 |
| FEI/EIN Number | 20-5276718 |
| Address: | 900 THOMAS DRIVE, PANAMA CITY BEACH, FL 32408 |
| Mail Address: | 900 THOMAS DRIVE, PANAMA CITY BEACH, FL 32408 |
| ZIP code: | 32408 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548415144 | 2008-11-24 | 2020-01-28 | 900 THOMAS DR, PANAMA CITY BEACH, FL, 324087442, US | 900 THOMAS DR, PANAMA CITY BEACH, FL, 324087442, US | |||||||||||||||||||||||
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| Phone | +1 850-249-9311 |
| Fax | 8502499312 |
Authorized person
| Name | DR. TARA M GRIFFIN |
| Role | PRESIDENT/ OWNER |
| Phone | 8502499311 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Taxonomy Code | 305S00000X - Point of Service |
| License Number | 17668 |
| State | FL |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EMERALD COAST DENTAL SPA RETIREMENT PLAN & TRUST | 2023 | 205276718 | 2024-09-24 | EMERALD COAST DENTAL SPA, INC. | 13 | |||||||||||||
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| EMERALD COAST DENTAL SPA RETIREMENT PLAN & TRUST | 2023 | 205276718 | 2024-02-28 | EMERALD COAST DENTAL SPA, INC. | 15 | |||||||||||||
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| EMERALD COAST DENTAL SPA RETIREMENT PLAN & TRUST | 2022 | 205276718 | 2023-09-27 | EMERALD COAST DENTAL SPA, INC. | 14 | |||||||||||||
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| EMERALD COAST DENTAL SPA RETIREMENT PLAN & TRUST | 2021 | 205276718 | 2022-09-23 | EMERALD COAST DENTAL SPA, INC. | 9 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| GRIFFIN, TARA | Agent | 900 THOMAS DRIVE, PANAMA CITY BEACH, FL 32408 |
| Name | Role | Address |
|---|---|---|
| GRIFFIN, TARA | President | 900 THOMAS DRIVE, PANAMA CITY BEACH, FL 32408 |
| Name | Role | Address |
|---|---|---|
| Johnson, Victoria | Authorized Representative | 900 THOMAS DRIVE, PANAMA CITY BEACH, FL 32408 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REINSTATEMENT | 2020-10-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-01 | GRIFFIN, TARA | No data |
| REINSTATEMENT | 2019-10-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-30 | 900 THOMAS DRIVE, PANAMA CITY BEACH, FL 32408 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-30 | 900 THOMAS DRIVE, PANAMA CITY BEACH, FL 32408 | No data |
| CHANGE OF MAILING ADDRESS | 2017-03-30 | 900 THOMAS DRIVE, PANAMA CITY BEACH, FL 32408 | No data |
| NAME CHANGE AMENDMENT | 2009-04-28 | EMERALD COAST DENTAL SPA, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-03 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-04-12 |
| REINSTATEMENT | 2020-10-21 |
| REINSTATEMENT | 2019-10-01 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-03-30 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-04-07 |
| ANNUAL REPORT | 2014-01-15 |
Date of last update: 28 Jan 2025
Sources: Florida Department of State
