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TIMOTHY FLOYD, MD PLLC

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Company Details

Name: TIMOTHY FLOYD, MD PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 28 Feb 2007 (18 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 190604
Place of Formation: IDAHO
File Number: 190604
ZIP code: 83616
County: Ada County
Principal Address: PO BOX 1240 EAGLE, ID 83616
Mailing Address: 2181 N MOONCREST LN EAGLE, ID 83616-3604

Agent

Name Role Address
CHARLES TIMOTHY FLOYD Agent 2181 NORTH MOONCREST LANE, EAGLE, ID 83616

Manager

Name Role Address Appointed On
CHARLES T FLOYD Manager PO BOX 3229, HAILEY, ID 83333 2021-01-04

National Provider Identifier

NPI Number:
1740726975

Authorized Person:

Name:
TIMOTHY FLOYD
Role:
M.D., OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2083677507

Form 5500 Series

Employer Identification Number (EIN):
455302747
Plan Year:
2018
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
1
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006051937 2025-01-06
Change of Registered Office/Agent/Both (by Entity) 0005934544 2024-10-11
Statement of Change of Business Mailing Address 0005934537 2024-10-09
Annual Report 0005542044 2024-01-04
Annual Report 0005053770 2023-01-05

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Date of last update: 25 Jun 2025

Sources: Idaho Secretary of State