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JEAN WOO, DDS, P.A.

Company Details

Entity Name: JEAN WOO, DDS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 27 Sep 1999 (25 years ago)
Document Number: P99000086436
FEI/EIN Number 593605452
Address: 123 SECOND ST SE, FORT WALTON BEACH, FL, 32548, US
Mail Address: 123 SECOND ST SE, FORT WALTON BEACH, FL, 32548, US
ZIP code: 32548
County: Okaloosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1871659987 2007-01-01 2020-08-22 136 STAFF DR NE # B, FORT WALTON BEACH, FL, 325485062, US 136 STAFF DR NE # B, FORT WALTON BEACH, FL, 325485062, US

Contacts

Phone +1 850-243-7177
Fax 8502434929

Authorized person

Name DR. JEAN WOO
Role PRESIDENT
Phone 8502437177

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number DN10017
State FL
Is Primary Yes

Agent

Name Role Address
WOO JEAN D Agent 123 SECOND ST SE, FORT WALTON BEACH, FL, 32548

President

Name Role Address
Woo DDS Jean D President 123 SECOND ST SE, FORT WALTON BEACH, FL, 32548

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-30 123 SECOND ST SE, FORT WALTON BEACH, FL 32548 No data
CHANGE OF MAILING ADDRESS 2023-01-30 123 SECOND ST SE, FORT WALTON BEACH, FL 32548 No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-30 123 SECOND ST SE, FORT WALTON BEACH, FL 32548 No data

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-01-26
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-03-12
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-02-17
ANNUAL REPORT 2015-02-02

Date of last update: 02 Feb 2025

Sources: Florida Department of State