| Entity Name: | FUSION DENTAL & MEDSPA, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
FUSION DENTAL & MEDSPA, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 31 Aug 2006 (19 years ago) |
| Last Event: | AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 10 Dec 2024 (5 months ago) |
| Document Number: | P06000113627 |
| FEI/EIN Number |
562606939
Federal Employer Identification (FEI) Number assigned by the IRS. |
| 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 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023177094 | 2006-12-06 | 2010-01-25 | 4550 HIGHWAY 20 EAST, SUITE C, NICEVILLE, FL, 32578, US | 4550 HIGHWAY 20 EAST, SUITE C, NICEVILLE, FL, 32578, US | |||||||||||||||||||||||
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| Phone | +1 850-897-1100 |
Authorized person
| Name | DR. LEAH THOMPSON GAGNON |
| Role | DOCTOR OF DENTAL MEDICINE |
| Phone | 8508971100 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | DN 17297 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI TYPE 1 |
| Number | 1235273392 |
| State | FL |
| 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 |
| 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 |
| 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 | - |
| 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 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
