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EMERALD COAST DENTAL SLEEP MEDICINE, INC

Company Details

Entity Name: EMERALD COAST DENTAL SLEEP MEDICINE, INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 18 Nov 2011 (13 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: P11000100060
FEI/EIN Number 45-3855231
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

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366716490 2012-03-07 2020-01-13 900 THOMAS DR, PANAMA CITY BEACH, FL, 324087442, US 900 THOMAS DR, PANAMA CITY BEACH, FL, 324087442, US

Contacts

Phone +1 850-249-9331
Fax 8502499332

Authorized person

Name DR. TARA M GRIFFIN
Role CEO
Phone 8502499311

Taxonomy

Taxonomy Code 122300000X - Dentist
State FL
Is Primary No
Taxonomy Code 332BC3200X - Customized Equipment (DME)
License Number DN17668
State FL
Is Primary Yes

Agent

Name Role Address
GRIFFIN, TARA Agent 900 Thomas Drive, PANAMA CITY BEACH, FL 32408

D P

Name Role Address
GRIFFIN, TARA D P 902 Thomas Drive, PANAMA CITY BEACH, FL 32408

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000047659 EC SLEEP SOLUTIONS EXPIRED 2014-05-14 2019-12-31 No data 3129 THOMAS DRIVE, PANAMA CITY BEACH, FL, 32408

Events

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
REGISTERED AGENT ADDRESS CHANGED 2020-10-21 900 Thomas Drive, PANAMA CITY BEACH, FL 32408 No data
CHANGE OF MAILING ADDRESS 2020-10-21 900 Thomas Drive, PANAMA CITY BEACH, FL 32408 No data
REGISTERED AGENT NAME CHANGED 2020-10-21 GRIFFIN, TARA No data
CHANGE OF PRINCIPAL ADDRESS 2020-10-21 900 Thomas Drive, PANAMA CITY BEACH, FL 32408 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
MERGER 2019-04-01 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 300000191923

Documents

Name Date
ANNUAL REPORT 2023-04-03
ANNUAL REPORT 2022-04-22
ANNUAL REPORT 2021-04-12
REINSTATEMENT 2020-10-21
ANNUAL REPORT 2019-04-10
Merger 2019-04-01
ANNUAL REPORT 2018-08-08
ANNUAL REPORT 2017-04-12
ANNUAL REPORT 2016-04-14
ANNUAL REPORT 2015-04-07

Date of last update: 23 Jan 2025

Sources: Florida Department of State