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DAVID E. THOME, D.D.S., P.A.

Company Details

Entity Name: DAVID E. THOME, D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 25 May 2010 (15 years ago)
Date of dissolution: 31 Mar 2014 (11 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 31 Mar 2014 (11 years ago)
Document Number: P10000044644
FEI/EIN Number 272746029
Address: 4200 North Ocean Drive, Hollywood, FL, 33019, US
Mail Address: 4200 North Ocean Drive, Hollywood, FL, 33019, US
ZIP code: 33019
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235346834 2007-05-16 2011-01-06 16223 MIRAMAR PKWY, MIRAMAR, FL, 330274572, US 16223 MIRAMAR PKWY, MIRAMAR, FL, 330274572, US

Contacts

Phone +1 954-433-4544

Authorized person

Name DR. DAVID EUGENE THOME
Role PRESIDENT
Phone 9546442332

Taxonomy

Taxonomy Code 1223P0221X - Pediatric Dentist
License Number DN18799
State FL
Is Primary Yes

Agent

Name Role Address
THOME DAVID E Agent 4200 North Ocean Drive, Hollywood, FL, 33019

President

Name Role Address
THOME DAVID E President 4200 North Ocean Drive, Hollywood, FL, 33019

Vice President

Name Role Address
PAXTON KELLIE R Vice President 4200 North Ocean Drive, Hollywood, FL, 33019

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2014-03-31 No data No data
CHANGE OF PRINCIPAL ADDRESS 2013-01-05 4200 North Ocean Drive, Hollywood, FL 33019 No data
CHANGE OF MAILING ADDRESS 2013-01-05 4200 North Ocean Drive, Hollywood, FL 33019 No data
REGISTERED AGENT ADDRESS CHANGED 2013-01-05 4200 North Ocean Drive, Hollywood, FL 33019 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2014-03-31
ANNUAL REPORT 2013-01-05
ANNUAL REPORT 2012-01-11
ANNUAL REPORT 2011-01-11
Domestic Profit 2010-05-25

Date of last update: 02 Feb 2025

Sources: Florida Department of State