| Entity Name: | LYNN HAVEN DENTAL SPECIALISTS, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 17 Nov 2023 (a year ago) |
| Document Number: | P23000080796 |
| FEI/EIN Number | 93-4489424 |
| Mail Address: | 2910 STEFANI ROAD, CANTONMENT, FL 32533 |
| Address: | 620 OHIO AVENUE, LYNN HAVEN, FL 32444 |
| ZIP code: | 32444 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730959362 | 2024-01-04 | 2024-01-04 | 2910 STEFANI RD, CANTONMENT, FL, 325338335, US | 620 OHIO AVE, LYNN HAVEN, FL, 324441756, US | |||||||||||||||
|
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| Phone | +1 251-215-9711 |
| Phone | +1 850-303-6800 |
Authorized person
| Name | MEGAN BRABNER |
| Role | DIRECTOR |
| Phone | 2512159711 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| SPIEGEL & UTRERA, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| EBERLE, NATHAN | President | 620 OHIO AVENUE, LYNN HAVEN, FL 32444 |
| Name | Role | Address |
|---|---|---|
| EBERLE, NATHAN | Secretary | 620 OHIO AVENUE, LYNN HAVEN, FL 32444 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-07 |
| ANNUAL REPORT | 2024-04-29 |
| Domestic Profit | 2023-11-17 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
