| Entity Name: | ADVANCED MAXILLOFACIAL SURGICAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
ADVANCED MAXILLOFACIAL SURGICAL 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: | 29 Aug 2012 (12 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 25 Apr 2021 (4 years ago) |
| Document Number: | L12000111216 |
| FEI/EIN Number |
46-1278990
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4257 POINT LA VISTA RD WEST, JACKSONVILLE, FL 32207 |
| Mail Address: | 4257 POINT LA VISTA RD WEST, JACKSONVILLE, FL 32207 |
| ZIP code: | 32207 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821404914 | 2014-07-09 | 2014-07-09 | PO BOX 56005, JACKSONVILLE, FL, 322416005, US | 1895 KINGSLEY AVE, SUITE 403, ORANGE PARK, FL, 320734466, US | |||||||||||||||||
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| Phone | +1 904-444-1578 |
Authorized person
| Name | JASON LEE |
| Role | OWNER |
| Phone | 9044441578 |
Taxonomy
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| License Number | DN18554 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LEE, JASON D, Dr. | Agent | 4257 POINT LA VISTA RD WEST, JACKSONVILLE, FL 32207 |
| LEE, JASON D, Dr. | Managing Member | 4257 POINT LA VISTA RD WEST, JACKSONVILLE, FL 32207 |
| 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. | - |
| 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 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4780457303 | 2020-04-30 | 0491 | PPP | 4257 POINT LA VISTA RD W, JACKSONVILLE, FL, 32207-6247 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 22 Feb 2025
Sources: Florida Department of State
