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LIL DENTAL, P.A.

Company Details

Entity Name: LIL DENTAL, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 26 Feb 2009 (16 years ago)
Date of dissolution: 02 Jul 2024 (7 months ago)
Last Event: PENDING REINSTATEMENT
Event Date Filed: 02 Jul 2024 (7 months ago)
Document Number: P09000018279
FEI/EIN Number 300538526
Mail Address: 525 Deer Point Drive, Gulf Breeze, FL, 32561, US
Address: 12385 Sorrento Rd, Ste B1, Pensacola, FL, 35607, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114305414 2015-05-07 2015-05-07 12385 SORRENTO RD, PENSACOLA, FL, 325078664, US 12385 SORRENTO RD, PENSACOLA, FL, 325078664, US

Contacts

Phone +1 850-492-7646
Fax 8504581601

Authorized person

Name DR. CHRISTOPHER MARTIN CAMPUS
Role PRESIDENT/ OWNER
Phone 8504927646

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number DN18259
State FL
Is Primary Yes

Agent

Name Role Address
CAMPUS CHRISTOPHER M Agent 12385 Sorrento Rd, Pensacola, FL, 35607

President

Name Role Address
campus Christopher m President 525 Deer Point Drive, gulf Breeze, FL, 32561

Secretary

Name Role Address
campus Christopher m Secretary 525 Deer Point Drive, gulf Breeze, FL, 32561

Treasurer

Name Role Address
campus Christopher m Treasurer 525 Deer Point Drive, gulf Breeze, FL, 32561

Vice President

Name Role Address
campus shelley Vice President 525 Deer Point Drive, gulf Breezw, FL, 32561

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000099968 SORRENTO DENTAL CARE ACTIVE 2020-08-07 2025-12-31 No data 525 DEER POINT DR, GULF BREEZE, FL, 32561
G13000014062 COMPASSIONATE HEALTHCARE SERVICES, 32506A EXPIRED 2013-02-09 2018-12-31 No data 12950 LILLIAN HIGHWAY, PENSACOLA, FL, 32506

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
CHANGE OF MAILING ADDRESS 2021-03-31 12385 Sorrento Rd, Ste B1, Pensacola, FL 35607 No data
CHANGE OF PRINCIPAL ADDRESS 2019-05-02 12385 Sorrento Rd, Ste B1, Pensacola, FL 35607 No data
REGISTERED AGENT ADDRESS CHANGED 2019-05-02 12385 Sorrento Rd, Ste B1, Pensacola, FL 35607 No data
AMENDMENT 2010-01-25 No data No data
ARTICLES OF CORRECT-ION/NAME CHANGE 2009-03-12 LIL DENTAL, P.A. No data

Documents

Name Date
ANNUAL REPORT 2021-03-31
ANNUAL REPORT 2020-06-26
ANNUAL REPORT 2019-05-02
ANNUAL REPORT 2018-01-24
ANNUAL REPORT 2017-04-25
ANNUAL REPORT 2016-04-25
ANNUAL REPORT 2015-04-22
ANNUAL REPORT 2014-01-17
ANNUAL REPORT 2013-01-21
ANNUAL REPORT 2012-01-12

Date of last update: 03 Feb 2025

Sources: Florida Department of State