| Entity Name: | ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Feb 2002 (23 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 07 Feb 2023 (2 years ago) |
| Document Number: | L02000003846 |
| FEI/EIN Number | 020558797 |
| Address: | 7 CLIFFORD DRIVE, SHALIMAR, FL, 32579 |
| Mail Address: | 7 CLIFFORD DRIVE, SHALIMAR, FL, 32579 |
| ZIP code: | 32579 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568655702 | 2007-08-21 | 2007-08-21 | 7 CLIFFORD DR, SHALIMAR, FL, 325791250, US | 7 CLIFFORD DR, SHALIMAR, FL, 325791250, US | |||||||||||||||||||
|
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| Phone | +1 850-651-6882 |
| Fax | 8506516692 |
Authorized person
| Name | DR. CHARLES WILLIAM ELWELL JR. |
| Role | OWNER |
| Phone | 8506516882 |
Taxonomy
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| License Number | DN0012590 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HUFF MARCUS AEsq. | Agent | 501 COMMENDENCIA STREET, PENSACOLA, FL, 32541 |
| Name | Role | Address |
|---|---|---|
| ELWELL CHARLES W | Manager | 7 CLIFFORD DRIVE, SHALIMAR, FL, 32579 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-30 | 501 COMMENDENCIA STREET, PENSACOLA, FL 32541 | No data |
| REINSTATEMENT | 2023-02-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-03-09 | HUFF, MARCUS A, Esq. | No data |
| REINSTATEMENT | 2017-02-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| MERGER | 2002-04-01 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 300000041023 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| REINSTATEMENT | 2023-02-07 |
| ANNUAL REPORT | 2021-03-09 |
| ANNUAL REPORT | 2020-02-19 |
| ANNUAL REPORT | 2019-03-20 |
| ANNUAL REPORT | 2018-01-16 |
| REINSTATEMENT | 2017-02-24 |
| ANNUAL REPORT | 2015-01-15 |
| ANNUAL REPORT | 2014-03-24 |
| ANNUAL REPORT | 2013-04-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
