Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Escambia
    4. ›
  4. 32503
    5. ›
  5. NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, P.A.

NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, P.A. - Florida Company Profile

Company Details

Entity Name: NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 01 Nov 1980 (45 years ago)
Last Event: AMENDMENT AND NAME CHANGE
Document Number: F02424
FEI/EIN Number 592042035

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 121 Baptist Way, PENSACOLA, FL, 32503, US
Mail Address: 121 Baptist Way, PENSACOLA, FL, 32503, US
ZIP code: 32503
County: Escambia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598069239 2011-01-10 2011-04-20 4850 N 9TH AVE STE 1, PENSACOLA, FL, 325032407, US 4850 N 9TH AVE STE 1, PENSACOLA, FL, 325032407, US

Contacts
Phone +1 850-478-7070
Fax 8504762513

Authorized person
Name DR. BRETT T. LAGGAN
Role ORAL & MAXILLOFACIAL SURGEON
Phone 8504787070

Taxonomy
Taxonomy Code 1223S0112X - Oral and Maxillofacial Surgery (Dentist)
License Number DN18924
State FL
Is Primary No
Taxonomy Code 261QS0112X - Oral and Maxillofacial Surgery Clinic/Center
License Number DN18924
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 073210900
State FL
Issuer MEDICAID
Number 076708500
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, P.A. 401(K) PLAN 2021 592042035 2022-10-14 NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, P.A. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-10-15
Business code 621210
Sponsor’s telephone number 8504787070
Plan sponsor’s address 4850 NORTH 9TH AVE, NO. 1, PENSACOLA, FL, 32503
NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, P.A. CASH BALANCE PLAN 2021 592042035 2022-10-14 NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, P.A. 13
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 8504787070
Plan sponsor’s address 4850 NORTH 9TH AVE, NO. 1, PENSACOLA, FL, 32503
NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, P.A. 401(K) PLAN 2020 592042035 2021-04-15 NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-10-15
Business code 621210
Sponsor’s telephone number 8504787070
Plan sponsor’s address 4850 NORTH 9TH AVE, NO. 1, PENSACOLA, FL, 32503
NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, P.A. CASH BALANCE PLAN 2020 592042035 2021-04-15 NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, P.A. 10
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 8504787070
Plan sponsor’s address 4850 NORTH 9TH AVE, NO. 1, PENSACOLA, FL, 32503
NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, P.A. 401(K) PLAN 2019 592042035 2020-04-21 NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, P.A. 11
Three-digit plan number (PN) 002
Effective date of plan 2012-10-15
Business code 621210
Sponsor’s telephone number 8504787070
Plan sponsor’s address 4850 NORTH 9TH AVE, NO. 1, PENSACOLA, FL, 32503
NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, P.A. CASH BALANCE PLAN 2019 592042035 2020-04-21 NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, P.A. 13
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 8504787070
Plan sponsor’s address 4850 NORTH 9TH AVE, NO. 1, PENSACOLA, FL, 32503
NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, P.A. 401(K) PLAN 2019 592042035 2020-04-23 NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, P.A. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-10-15
Business code 621210
Sponsor’s telephone number 8504787070
Plan sponsor’s address 4850 NORTH 9TH AVE, NO. 1, PENSACOLA, FL, 32503
NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, P.A. CASH BALANCE PLAN 2018 592042035 2019-04-01 NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, P.A. 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 8504787070
Plan sponsor’s address 4850 NORTH 9TH AVE, NO. 1, PENSACOLA, FL, 32503
NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, P.A. 401(K) PLAN 2018 592042035 2020-04-21 NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, P.A. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2012-10-15
Business code 621210
Sponsor’s telephone number 8504787070
Plan sponsor’s address 4850 NORTH 9TH AVE, NO. 1, PENSACOLA, FL, 32503
NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, P.A. 401(K) PLAN 2018 592042035 2019-04-01 NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, P.A. 17
Three-digit plan number (PN) 002
Effective date of plan 2012-10-15
Business code 621210
Sponsor’s telephone number 8504787070
Plan sponsor’s address 4850 NORTH 9TH AVE, NO. 1, PENSACOLA, FL, 32503

Key Officers & Management

Name Role Address
LAGGAN BRETT TDR. President 121 BAPTIST WAY, PENSACOLA, FL, 32503
LAGGAN BRETT TDr. Agent 4850 NORTH 9TH AVENUE, PENSACOLA, FL, 32503

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-10-28 121 Baptist Way, Ste 1100, PENSACOLA, FL 32503 -
CHANGE OF MAILING ADDRESS 2024-10-28 121 Baptist Way, Ste 1100, PENSACOLA, FL 32503 -
REGISTERED AGENT ADDRESS CHANGED 2018-03-18 4850 NORTH 9TH AVENUE, PENSACOLA, FL 32503 -
REGISTERED AGENT NAME CHANGED 2013-01-24 LAGGAN, BRETT T, Dr. -
AMENDMENT AND NAME CHANGE 2010-08-31 NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, P.A. -
REINSTATEMENT 2001-01-02 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2000-09-22 - -

Documents

Name Date
ANNUAL REPORT 2024-03-10
ANNUAL REPORT 2023-04-09
ANNUAL REPORT 2022-04-06
ANNUAL REPORT 2021-04-17
ANNUAL REPORT 2020-05-30
ANNUAL REPORT 2019-02-16
ANNUAL REPORT 2018-03-18
ANNUAL REPORT 2017-03-14
ANNUAL REPORT 2016-03-14
ANNUAL REPORT 2015-03-02

Companies related by officers

No other companies in our directory share the same officers as NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, P.A.

Companies related by address

No other companies in our directory share the same address as NORTHWEST FLORIDA ORAL AND MAXILLOFACIAL SURGERY, P.A.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated