| Entity Name: | PROFILES II ORAL AND FACIAL SURGERY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PROFILES II ORAL AND FACIAL SURGERY, PLLC 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: | 14 Mar 2011 (14 years ago) |
| Document Number: | L11000030929 |
| FEI/EIN Number |
275548024
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2051 45TH STREET, SUITE 205, WEST PALM BEACH, FL, 33407, US |
| Mail Address: | 2051 45TH STREET, SUITE 205, WEST PALM BEACH, FL, 33407, US |
| ZIP code: | 33407 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477837011 | 2011-09-30 | 2016-07-25 | 2560 RCA BLVD, SUITE 102, PALM BEACH GARDENS, FL, 334103338, US | 2560 RCA BLVD, SUITE 102, PALM BEACH GARDENS, FL, 334103338, US | |||||||||||||||||||||
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| Phone | +1 561-622-9065 |
Authorized person
| Name | DR. MAKEPEACE CHARLES |
| Role | ORAL SURGEON |
| Phone | 5616229065 |
Taxonomy
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003758600 |
| State | FL |
| Name | Role |
|---|---|
| PROFILES ORAL AND FACIAL SURGERY, PLLC | Manager |
| ABRAHAM ZIADEH, CPA PA | Agent |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-12 | 9000 Sheridan Street, 140, Pembroke Pines, FL 33024 | - |
| REGISTERED AGENT NAME CHANGED | 2019-04-25 | Abraham Ziadeh CPA PA | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-13 |
| ANNUAL REPORT | 2023-04-04 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-03-24 |
| ANNUAL REPORT | 2020-02-28 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-27 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6242507100 | 2020-04-14 | 0455 | PPP | 2051 45TH ST STE 205, WEST PALM BEACH, FL, 33407-2027 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Apr 2025
Sources: Florida Department of State
