| Entity Name: | FLORIDA FAMILY DENTISTRY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
FLORIDA FAMILY DENTISTRY, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 21 Oct 1997 (28 years ago) |
| Last Event: | AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 10 May 2007 (18 years ago) |
| Document Number: | P97000090269 |
| FEI/EIN Number |
593471299
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4 OLD KINGS RD. N., SUITE A, PALM COAST, FL, 32137 |
| Mail Address: | 4 OLD KINGS RD. N., SUITE A, PALM COAST, FL, 32137 |
| ZIP code: | 32137 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609959428 | 2006-10-23 | 2008-02-27 | 4 OLD KINGS RD N, SUITE A, PALM COAST, FL, 321378226, US | 4 OLD KINGS RD N, SUITE A, PALM COAST, FL, 321378226, US | |||||||||||||||
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| Phone | +1 386-447-1234 |
| Fax | 3864470005 |
Authorized person
| Name | DR. GREGORY A. JOHNSTON |
| Role | PRESIDENT |
| Phone | 3864471234 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FLORIDA FAMILY DENTISTRY 401(K) PLAN | 2023 | 593471299 | 2024-10-03 | FLORIDA FAMILY DENTISTRY, P.A. | 32 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-10-03 |
| Name of individual signing | CHRISTINA SANTOPADRE |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-10-03 |
| Name of individual signing | CHRISTINA SANTOPADRE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3864451234 |
| Plan sponsor’s address | 4 N. OLD KINGS RD., SUITE A, PALM COAST, FL, 32137 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-10 |
| Name of individual signing | CHRISTINA SANTOPADRE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| RAY TRAVIS E | President | 4 OLD KINGS RD. N. SUITE A, PALM COAST, FL, 32137 |
| Hamner Selycette | Treasurer | 4 OLD KINGS RD. N., PALM COAST, FL, 32137 |
| Johnston Jordan S | Vice President | 4 OLD KINGS RD. N., PALM COAST, FL, 32137 |
| Grimes Jonathan B | Secretary | 4 Old Kings Rd. North, Palm Coast, FL, 32137 |
| RAY TRAVIS E | Agent | 4 OLD KINGS RD. N., PALM COAST, FL, 32137 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G07198900020 | FAMILY DENTISTRY | ACTIVE | 2007-07-17 | 2027-12-31 | - | 4 OLD KINGS RD. NORTH, SUITE A, PALM COAST, FL, 32137 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-01-27 | RAY, TRAVIS E | - |
| CHANGE OF PRINCIPAL ADDRESS | 2010-04-20 | 4 OLD KINGS RD. N., SUITE A, PALM COAST, FL 32137 | - |
| CHANGE OF MAILING ADDRESS | 2010-04-20 | 4 OLD KINGS RD. N., SUITE A, PALM COAST, FL 32137 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2010-04-20 | 4 OLD KINGS RD. N., SUITE A, PALM COAST, FL 32137 | - |
| AMENDMENT AND NAME CHANGE | 2007-05-10 | FLORIDA FAMILY DENTISTRY, P.A. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-20 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-06-21 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-14 |
| ANNUAL REPORT | 2016-04-22 |
| ANNUAL REPORT | 2015-04-26 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
