| Entity Name: | JEFFREY D. BLUM, D.D.S., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
JEFFREY D. BLUM, D.D.S., 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: | 30 Oct 1981 (43 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 18 Mar 2011 (14 years ago) |
| Document Number: | F52906 |
| FEI/EIN Number |
592131999
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4308 ALTON RD., SUITE #850, MIAMI BEACH, FL, 33140, US |
| Mail Address: | 4308 ALTON RD., SUITE #850, MIAMI BEACH, FL, 33140, US |
| ZIP code: | 33140 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518196013 | 2009-07-07 | 2009-07-07 | 4308 ALTON RD, SUITE 850, MIAMI BEACH, FL, 331404556, US | 4308 ALTON RD, SUITE 850, MIAMI BEACH, FL, 331404556, US | |||||||||||||||||||
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| Phone | +1 305-538-3446 |
| Fax | 3055382019 |
Authorized person
| Name | DR. JEFFREY DENNIS BLUM |
| Role | PRESIDENT |
| Phone | 3055384556 |
Taxonomy
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| License Number | DN5527 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEFFREY D. BLUM, D.D.S., P.A. PROFIT SHARING PLAN | 2014 | 592131999 | 2015-08-27 | JEFFREY D. BLUM, D.D.S., P.A. | 13 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 592131999 |
| Plan administrator’s name | JEFFREY D. BLUM, D.D.S., P.A. |
| Plan administrator’s address | 4308 ALTON ROAD, SUITE 850, MIAMI BEACH, FL, 33140 |
| Administrator’s telephone number | 3055384556 |
Signature of
| Role | Plan administrator |
| Date | 2015-08-27 |
| Name of individual signing | JEFFREY D BLUM |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Blum Michel | Manager | 156 2ND AVENUE, New York, NY, 10003 |
| Dr. Jeffrey Dennis Blum Revocable Trust | President | 4308 ALTON RD, SUITE # 850, MIAMI BEACH, FL |
| Dr. Jeffrey Dennis Blum Revocable Trust | Director | 4308 ALTON RD, SUITE # 850, MIAMI BEACH, FL |
| BLUM, JEFFREY D. | Agent | 4308 ALTON RD., MIAMI BEACH, FL, 33140 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000024855 | BLUM ORAL-FACIAL SURGERY ASSOCIATES | EXPIRED | 2010-03-17 | 2015-12-31 | - | 4308 ALTON RD., SUITE 850, MIAMI BEACH, FL, 33140 |
| G09014900256 | BLUM ORAL-FACIAL SURGERY ASSOCIATES | EXPIRED | 2009-01-14 | 2014-12-31 | - | 4308 ALTON RD., SUITE# 850, MIAMI BEACH, FL, 33140 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2012-01-13 | 4308 ALTON RD., SUITE #850, MIAMI BEACH, FL 33140 | - |
| REINSTATEMENT | 2011-03-18 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-20 | 4308 ALTON RD., SUITE #850, MIAMI BEACH, FL 33140 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-20 | 4308 ALTON RD., SUITE# 850, MIAMI BEACH, FL 33140 | - |
| REGISTERED AGENT NAME CHANGED | 2001-08-31 | BLUM, JEFFREY D. | - |
| NAME CHANGE AMENDMENT | 1988-03-14 | JEFFREY D. BLUM, D.D.S., P.A. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-02-03 |
| ANNUAL REPORT | 2022-03-15 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-02-13 |
| ANNUAL REPORT | 2019-03-14 |
| ANNUAL REPORT | 2018-02-23 |
| ANNUAL REPORT | 2017-01-19 |
| ANNUAL REPORT | 2016-02-26 |
| ANNUAL REPORT | 2015-01-14 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
