| Entity Name: | AMMAR MOUSA DDS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
AMMAR MOUSA DDS, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| 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: | 27 Dec 2010 (14 years ago) |
| Document Number: | L10000131812 |
| FEI/EIN Number |
274484180
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5427 Tildens Grove Blvd, Windermere, FL, 34786, US |
| Mail Address: | 5427 Tildens Grove Blvd, Windermere, FL, 34786, US |
| ZIP code: | 34786 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265000822 | 2021-06-11 | 2021-06-11 | 590 S MAIN ST, WILDWOOD, FL, 347854832, US | 590 S MAIN ST, WILDWOOD, FL, 347854832, US | |||||||||||||||
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| Phone | +1 352-748-1880 |
| Fax | 3527483345 |
Authorized person
| Name | AMMAR MOUSA |
| Role | DENTIST |
| Phone | 3527481880 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AMMAR MOUSA DDS LLC 401K PLAN | 2023 | 274484180 | 2024-06-24 | AMMAR MOUSA DDS LLC | 37 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-06-24 |
| Name of individual signing | AMMAR MOUSA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3526362135 |
| Plan sponsor’s address | 5427 TILDENS GROVE BLVD, WINDERMERE, FL, 34786 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-09 |
| Name of individual signing | AMMAR MOUSA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3526362135 |
| Plan sponsor’s address | 5427 TILDENS GROVE BLVD, WINDERMERE, FL, 34786 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-13 |
| Name of individual signing | AMMAR MOUSA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3526362135 |
| Plan sponsor’s address | 5427 TILDENS GROVE BLVD, WINDERMERE, FL, 34786 |
Signature of
| Role | Plan administrator |
| Date | 2021-09-01 |
| Name of individual signing | AMMAR MOUSA |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2021-09-01 |
| Name of individual signing | AMMAR MOUSA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 3526362135 |
| Plan sponsor’s address | 5427 TILDENS GROVE BLVD, WINDERMERE, FL, 34786 |
Signature of
| Role | Plan administrator |
| Date | 2020-07-16 |
| Name of individual signing | AMMAR MOUSA |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2020-07-16 |
| Name of individual signing | AMMAR MOUSA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MOUSA AMMAR | Managing Member | 5427 Tildens Grove Blvd, Windermere, FL, 34786 |
| MAHROUS NISREEN | Managing Member | 5427 Tildens Grove Blvd, Windermere, FL, 34786 |
| GARCIA MEGAN L | REGI | 9100 CONROY WINDERMERE ROAD, WINDERMERE, FL, 34786 |
| MEGAN GARCIA L | Agent | 9100 CONROY WINDERMERE ROAD, WINDERMERE, FL, 34786 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000024318 | VILLAGES SMILES | ACTIVE | 2021-02-19 | 2026-12-31 | - | 5427 TILDENS GROVE BLVD, WINDERMERE, FL, 34785 |
| G17000011750 | LAKE DEATON DENTAL | EXPIRED | 2017-01-31 | 2022-12-31 | - | 717 KRISTINE WAY, THEY VILLAGES, FL, 32163 |
| G16000036130 | WILDWOOD DENTIST | EXPIRED | 2016-04-08 | 2021-12-31 | - | 5427 TILDENS GROVE BLVD., WINDERMERE, FL, 34786 |
| G11000007173 | WILDWOOD DENTAL CARE | EXPIRED | 2011-01-17 | 2016-12-31 | - | 590 SOUTH MAIN STREET, WILDWOOD, FL, 34785 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-02-28 | MEGAN, GARCIA LOUISE | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-28 | 9100 CONROY WINDERMERE ROAD, SUITE 200, WINDERMERE, FL 34786 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2016-01-23 | 5427 Tildens Grove Blvd, Windermere, FL 34786 | - |
| CHANGE OF MAILING ADDRESS | 2016-01-23 | 5427 Tildens Grove Blvd, Windermere, FL 34786 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-28 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-09 |
| ANNUAL REPORT | 2021-03-14 |
| ANNUAL REPORT | 2020-03-15 |
| ANNUAL REPORT | 2019-04-20 |
| ANNUAL REPORT | 2018-04-01 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-01-23 |
| ANNUAL REPORT | 2015-01-12 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2481378300 | 2021-01-20 | 0491 | PPS | 5427 Tildens Grove Blvd, Windermere, FL, 34786-5710 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4312737205 | 2020-04-27 | 0491 | PPP | 5427 TILDENS GROVE BLVD, WINDERMERE, FL, 34786 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
