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EMERALD COAST BONE DENSITOMETRY, INC.

Company Details

Entity Name: EMERALD COAST BONE DENSITOMETRY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 14 Apr 1999 (26 years ago)
Date of dissolution: 26 Sep 2008 (16 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 26 Sep 2008 (16 years ago)
Document Number: P99000035525
FEI/EIN Number 593570768
Address: 417-B RACETRACK ROAD, FORT WALTON BEACH, FL, 32547
Mail Address: 417-B RACETRACK ROAD, FORT WALTON BEACH, FL, 32547
ZIP code: 32547
County: Okaloosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407878408 2006-07-25 2007-10-11 417 RACETRACK RD NW # B, FORT WALTON BEACH, FL, 325474612, US 417 RACETRACK RD NW # B, FORT WALTON BEACH, FL, 325474612, US

Contacts

Phone +1 850-864-2663

Authorized person

Name MICKI GLENN
Role OFFICE MANAGER
Phone 8508642663

Taxonomy

Taxonomy Code 2085B0100X - Body Imaging Physician
License Number ME0063572
State FL
Is Primary Yes

Agent

Name Role Address
HELMICH KEVIN M Agent 4481 LEGENDARY DRIVE, SUITE 200, DESTIN, FL, 32540

Director

Name Role Address
GLENN MICHELLE E Director 417-B RACETRACK ROAD, FORT WALTON BEACH, FL, 32547

Secretary

Name Role Address
GLENN MICHELLE E Secretary 417 B RACETRACK ROAD, FORT WALTON BEACH, FL, 32547

Treasurer

Name Role Address
GLENN MICHELLE E Treasurer 417 B RACETRACK ROAD, FORT WALTON BEACH, FL, 32547

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 No data No data
REGISTERED AGENT ADDRESS CHANGED 2002-04-03 4481 LEGENDARY DRIVE, SUITE 200, DESTIN, FL 32540 No data

Documents

Name Date
ANNUAL REPORT 2007-01-11
ANNUAL REPORT 2006-01-25
ANNUAL REPORT 2005-01-05
ANNUAL REPORT 2004-03-30
ANNUAL REPORT 2003-03-24
ANNUAL REPORT 2002-04-03
ANNUAL REPORT 2001-05-07
ANNUAL REPORT 2000-05-02
Domestic Profit 1999-04-14

Date of last update: 02 Feb 2025

Sources: Florida Department of State