| Entity Name: | EMERALD COAST PERIODONTICS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 19 Jun 1998 (27 years ago) |
| Date of dissolution: | 01 Apr 2015 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 01 Apr 2015 (10 years ago) |
| Document Number: | P98000055145 |
| FEI/EIN Number | 593518035 |
| Address: | 719 BAYSHORE DRIVE, NICEVILLE, FL, 32578 |
| Mail Address: | 719 BAYSHORE DRIVE, NICEVILLE, FL, 32578 |
| ZIP code: | 32578 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437201712 | 2007-01-17 | 2020-08-22 | 719 BAYSHORE DR, NICEVILLE, FL, 325782546, US | 719 BAYSHORE DR, NICEVILLE, FL, 325782546, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 850-678-6485 |
| Fax | 8506785245 |
Authorized person
| Name | DR. PATRICIA R FRANCISCO |
| Role | OWNER,PRESIDENT |
| Phone | 8506786485 |
Taxonomy
| Taxonomy Code | 1223P0300X - Periodontist |
| License Number | DN0008574 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FRANCISCO PATRICIA | Agent | 719 BAYSHORE DR., NICEVILLE, FL, 32578 |
| Name | Role | Address |
|---|---|---|
| FRANCISCO PATRICIA R | Director | 719 BAYSHORE DRIVE, NICEVILLE, FL, 32578 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-04-01 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-03-08 | 719 BAYSHORE DR., NICEVILLE, FL 32578 | No data |
| REGISTERED AGENT NAME CHANGED | 2008-01-22 | FRANCISCO, PATRICIA | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2015-04-01 |
| ANNUAL REPORT | 2014-01-17 |
| ANNUAL REPORT | 2013-05-03 |
| ANNUAL REPORT | 2012-01-10 |
| ANNUAL REPORT | 2011-03-08 |
| ANNUAL REPORT | 2010-04-21 |
| ANNUAL REPORT | 2009-04-09 |
| ANNUAL REPORT | 2008-01-22 |
| ANNUAL REPORT | 2007-03-27 |
| ANNUAL REPORT | 2006-04-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
