Entity Name: | ABSOLUTE DENTAL CARE, P.C. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 03 Sep 1991 (33 years ago) |
Document Number: | S77957 |
FEI/EIN Number | 593093364 |
Address: | 33143 US HWY 19 N., PALM HARBOR, FL, 34684 |
Mail Address: | 33143 US HWY 19 N., PALM HARBOR, FL, 34684 |
ZIP code: | 34684 |
County: | Pinellas |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1568742351 | 2011-08-24 | 2011-08-24 | 2314 WEST 23RD STREET, PANAMA CITY, FL, 32405, US | 2314 WEST 23RD STREET, PANAMA CITY, FL, 32405, US | |||||||||||||||||||||||||||||||||||
|
Phone | +1 850-784-0818 |
Fax | 8502155587 |
Authorized person
Name | MRS. DARLENE COOK |
Role | OFFICE MANAGER |
Phone | 8507840818 |
Taxonomy
Taxonomy Code | 1223G0001X - General Practice Dentistry |
License Number | DN12472 |
State | FL |
Is Primary | No |
Taxonomy Code | 1223G0001X - General Practice Dentistry |
License Number | DN 8483 |
State | FL |
Is Primary | No |
Taxonomy Code | 1223P0700X - Prosthodontist |
License Number | DN12472 |
State | FL |
Is Primary | Yes |
Name | Role |
---|---|
CHRISTOPHER R. MILLER, INC. | Agent |
Name | Role | Address |
---|---|---|
MILLER CHRISTOPHER R | President | 33143 US HWY 19 NORTH, PALM HARBOR, FL, 34684 |
Name | Role | Address |
---|---|---|
MILLER CHRISTOPHER R | Vice President | 33143 US HWY 19 NORTH, PALM HARBOR, FL, 34684 |
Name | Role | Address |
---|---|---|
MILLER CHRISTOPHER R | Treasurer | 33143 US HWY 19 NORTH, PALM HARBOR, FL, 34684 |
Name | Role | Address |
---|---|---|
MILLER CHRISTOPHER R | Secretary | 33143 US HWY 19 NORTH, PALM HARBOR, FL, 34684 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
REINSTATEMENT | 2003-10-09 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State