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FUSION DENTAL & MEDSPA, P.A. - Florida Company Profile

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Company Details

Entity Name: FUSION DENTAL & MEDSPA, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 31 Aug 2006 (19 years ago)
Last Event: AMENDMENT AND NAME CHANGE
Event Date Filed: 10 Dec 2024 (8 months ago)
Document Number: P06000113627
FEI/EIN Number 562606939
Address: 4550 EAST HWY. 20, SUITE C, NICEVILLE, FL, 32578, US
Mail Address: 4550 EAST HWY. 20, SUITE C, NICEVILLE, FL, 32578, US
ZIP code: 32578
City: Niceville
County: Okaloosa
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GAGNON LEAH T President 4550 HIGHWAY 20EAST, SUITE C, NICEVILLE, FL, 32578
GAGNON LEAH T Director 4550 HIGHWAY 20EAST, SUITE C, NICEVILLE, FL, 32578
MCINNIS C. JEFFREY Agent 909 MAR WALT DRIVE, SUITE 1014, FT WALTON BEACH, FL, 32547

National Provider Identifier

NPI Number:
1023177094

Authorized Person:

Name:
DR. LEAH THOMPSON GAGNON
Role:
DOCTOR OF DENTAL MEDICINE
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000002819 FUSION DENTAL & MEDSPA ACTIVE 2025-01-07 2030-12-31 - 4550 HIGHWAY 20 EAST, SUITE C, NICEVILLE, FL, 32578

Events

Event Type Filed Date Value Description
AMENDMENT AND NAME CHANGE 2024-12-10 FUSION DENTAL & MEDSPA, P.A. -
AMENDMENT AND NAME CHANGE 2009-12-17 LEAH THOMPSON GAGNON, D.M.D., P.A. -
CHANGE OF PRINCIPAL ADDRESS 2009-12-17 4550 EAST HWY. 20, SUITE C, NICEVILLE, FL 32578 -
CHANGE OF MAILING ADDRESS 2009-12-17 4550 EAST HWY. 20, SUITE C, NICEVILLE, FL 32578 -

Documents

Name Date
Amendment and Name Change 2024-12-10
ANNUAL REPORT 2024-02-29
ANNUAL REPORT 2023-03-12
ANNUAL REPORT 2022-02-28
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-04-26
ANNUAL REPORT 2018-04-06
ANNUAL REPORT 2017-04-06
ANNUAL REPORT 2016-04-14

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Date of last update: 03 Jul 2025

Sources: Florida Department of State