| Entity Name: | WILLIAM BELL DMD, MD P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 05 Feb 2020 (5 years ago) |
| Document Number: | P20000012596 |
| FEI/EIN Number | 84-4721087 |
| Address: | 2030 S PATRICK DR # 1, INDIAN HARBOUR BEACH, FL, 32937, US |
| Mail Address: | 2030 S PATRICK DR # 1, INDIAN HARBOUR BEACH, FL, 32937, US |
| ZIP code: | 32937 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740807361 | 2020-06-30 | 2020-07-20 | 2030 S PATRICK DRIVE, SUITE 1, INDIAN HARBOUR BEACH, FL, 329374400, US | 2030 SOUTH PATRICK DRIVE, SUITE 1, INDIAN HARBOUR BEACH, FL, 32937, US | |||||||||||||||||||||
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| Phone | +1 321-777-2166 |
| Fax | 3217772191 |
Authorized person
| Name | DR. WILLIAM H BELL IV |
| Role | OWNER |
| Phone | 3217772166 |
Taxonomy
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | ASSOCIATE (DR. TIMOTHY LANG) |
| Number | 1306832431 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WHITE BRADLEY F | Agent | 2101 WAVERLY PLACE, MELBOURNE, FL, 32901 |
| Name | Role | Address |
|---|---|---|
| BELL WILLIAM | President | 2030 S PATRICK DR # 1, INDIAN HARBOUR BEACH, FL, 32937 |
| Name | Role | Address |
|---|---|---|
| BELL WILLIAM | Secretary | 2030 S PATRICK DR # 1, INDIAN HARBOUR BEACH, FL, 32937 |
| Name | Role | Address |
|---|---|---|
| BELL WILLIAM | Treasurer | 2030 S PATRICK DR # 1, INDIAN HARBOUR BEACH, FL, 32937 |
| Name | Role | Address |
|---|---|---|
| BELL WILLIAM | Director | 2030 S PATRICK DR # 1, INDIAN HARBOUR BEACH, FL, 32937 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-05-20 | WHITE, BRADLEY F | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-05-20 | 2101 WAVERLY PLACE, MELBOURNE, FL 32901 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-09 |
| ANNUAL REPORT | 2023-01-13 |
| ANNUAL REPORT | 2022-01-03 |
| Reg. Agent Change | 2021-05-20 |
| ANNUAL REPORT | 2021-01-04 |
| Domestic Profit | 2020-02-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
