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HENRY F. PRUETT, JR., D.D.S., P.A.

Company Details

Entity Name: HENRY F. PRUETT, JR., D.D.S., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 20 May 2015 (10 years ago)
Date of dissolution: 25 Sep 2020 (4 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (4 years ago)
Document Number: P15000045440
FEI/EIN Number 47-4075388
Address: 466 E. NINE MILE ROAD, PENSACOLA, FL, 32514, US
Mail Address: 9600 Yarrow Circle, PENSACOLA, FL, 32514, US
ZIP code: 32514
County: Escambia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285017186 2015-07-09 2015-07-09 466 E NINE MILE RD, PENSACOLA, FL, 325141441, US 466 E NINE MILE RD, PENSACOLA, FL, 325141441, US

Contacts

Phone +1 850-476-2552
Fax 8504799861

Authorized person

Name DR. HENRY FLOYD PRUETT JR.
Role PRESIDENT
Phone 8504762552

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role Address
PRUETT HENRY FJR. Agent 9611 YARROW CIRCLE, PENSACOLA, FL, 32514

President

Name Role Address
PRUETT HENRY FJR. President 9611 YARROW CIRCLE, PENSACOLA, FL, 32514

Secretary

Name Role Address
PRUETT HENRY FJR. Secretary 9611 YARROW CIRCLE, PENSACOLA, FL, 32514

Treasurer

Name Role Address
PRUETT HENRY FJR. Treasurer 9611 YARROW CIRCLE, PENSACOLA, FL, 32514

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
CHANGE OF MAILING ADDRESS 2019-03-11 466 E. NINE MILE ROAD, PENSACOLA, FL 32514 No data

Documents

Name Date
ANNUAL REPORT 2019-03-11
ANNUAL REPORT 2018-03-14
ANNUAL REPORT 2017-03-16
ANNUAL REPORT 2016-03-03
Domestic Profit 2015-05-20

Date of last update: 01 Feb 2025

Sources: Florida Department of State