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ADVANCED MAXILLOFACIAL SURGICAL LLC - Florida Company Profile

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Company Details

Entity Name: ADVANCED MAXILLOFACIAL SURGICAL LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 29 Aug 2012 (13 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 25 Apr 2021 (4 years ago)
Document Number: L12000111216
FEI/EIN Number 461278990
Address: 4257 POINT LA VISTA RD WEST, JACKSONVILLE, FL, 32207, US
Mail Address: 4257 POINT LA VISTA RD WEST, JACKSONVILLE, FL, 32207, US
ZIP code: 32207
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
LEE JASON DDr. Managing Member 4257 POINT LA VISTA RD WEST, JACKSONVILLE, FL, 32207
LEE JASON DDr. Agent 4257 POINT LA VISTA RD WEST, JACKSONVILLE, FL, 32207

National Provider Identifier

NPI Number:
1821404914
Certification Date:
2025-01-07

Authorized Person:

Name:
JASON LEE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
REINSTATEMENT 2021-04-25 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 - -
CHANGE OF PRINCIPAL ADDRESS 2019-03-09 4257 POINT LA VISTA RD WEST, JACKSONVILLE, FL 32207 -
CHANGE OF MAILING ADDRESS 2019-03-09 4257 POINT LA VISTA RD WEST, JACKSONVILLE, FL 32207 -
REGISTERED AGENT ADDRESS CHANGED 2019-03-09 4257 POINT LA VISTA RD WEST, JACKSONVILLE, FL 32207 -
REGISTERED AGENT NAME CHANGED 2013-03-31 LEE, JASON D, Dr. -

Documents

Name Date
ANNUAL REPORT 2024-03-08
ANNUAL REPORT 2023-01-20
ANNUAL REPORT 2022-01-27
REINSTATEMENT 2021-04-25
ANNUAL REPORT 2019-03-09
ANNUAL REPORT 2018-01-21
ANNUAL REPORT 2017-03-19
ANNUAL REPORT 2016-04-18
ANNUAL REPORT 2015-02-28
ANNUAL REPORT 2014-03-30

USAspending Awards / Financial Assistance

Date:
2020-04-30
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
32800.00
Total Face Value Of Loan:
32800.00

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$32,800
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$32,800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$33,021.06
Servicing Lender:
First-Citizens Bank & Trust Company
Use of Proceeds:
Payroll: $32,800

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Date of last update: 02 Jul 2025

Sources: Florida Department of State