MICHAEL R. DIBENEDETTO, M.D., PLLC
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| Name: | MICHAEL R. DIBENEDETTO, M.D., PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 19 Aug 2002 (23 years ago) |
| Financial Date End: | 31 Aug 2025 |
| Entity Number: | 74829 |
| Place of Formation: | IDAHO |
| File Number: | 74829 |
| ZIP code: | 83852 |
| County: | Bonner County |
| Principal Address: | 30544 HWY 200 STE 102 PONDERAY, ID 83852 |
| Mailing Address: | STE 102 30544 HIGHWAY 200 PONDERAY, ID 83852-5005 |
| Name | Role | Address |
|---|---|---|
| MICHAEL R DIBENEDETTO | Agent | 30544 HWY 200, STE 102, PONDERAY, ID 83852 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Michael DiBenedetto | Manager | 30544 HWY 200, STE 102, PONDERAY, ID 83852 | 2020-09-10 |
| Travis Taylor | Manager | 30544 HWY 200, PONDERAY, ID 83852 | 2023-08-01 |
| Joan Bloom | Manager | 30544 HWY 200, STE 102, PONDERAY, ID 83852-5005 | 2023-08-01 |
| Michael Schicker | Manager | 30544 HWY 200, STE 102, PONDERAY, ID 83852-5005 | 2023-08-01 |
| JONATHAN FISHER | Manager | 30544 HWY 200, STE 102, SANDPOINT, ID 83864 | 2023-08-01 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005835127 | 2024-08-01 |
| Annual Report | 0005336642 | 2023-08-01 |
| Annual Report | 0004834702 | 2022-07-29 |
| Annual Report | 0004428474 | 2021-09-27 |
| Annual Report | 0004001004 | 2020-09-10 |
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Date of last update: 14 Jul 2025
Sources: Idaho Secretary of State