| Entity Name: | NEW IMAGE MAXILLOFACIAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 10 Dec 2012 (12 years ago) |
| Document Number: | L12000154412 |
| FEI/EIN Number | 46-1555026 |
| Address: | 1325 S. PINE ST. SUITE 102, MELBOURNE, FL 32901 |
| Mail Address: | 1325 S. PINE ST. SUITE 102, MELBOURNE, FL 32901 |
| ZIP code: | 32901 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194767707 | 2006-06-11 | 2014-05-19 | 1325 S PINE ST, SUITE 102, MELBOURNE, FL, 329013189, US | 1325 S PINE ST, SUITE 102, MELBOURNE, FL, 329013189, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 321-725-5377 |
| Fax | 3219513393 |
Authorized person
| Name | DR. RICHARD W SCHMID |
| Role | MANAGER |
| Phone | 3217255377 |
Taxonomy
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| License Number | DN7413 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SCHMID, RICHARD W | Agent | 1325 S. PINE ST. SUITE 102, MELBOURNE, FL 32901 |
| Name | Role | Address |
|---|---|---|
| SCHMID, RICHARD W | Manager | 1325 S. PINE ST. SUITE 102, MELBOURNE, FL 32901 |
| KIM, KING | Manager | 1325 S. PINE ST. SUITE 102, MELBOURNE, FL 32901 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000131735 | SUNRISE FACIAL AND ORAL SURGERY | ACTIVE | 2017-12-02 | 2027-12-31 | No data | 1325 S. PINE ST., STE 102, MELBOURNE, FL, 32901 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-09 |
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-18 |
| ANNUAL REPORT | 2021-01-17 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-01-17 |
| ANNUAL REPORT | 2018-01-10 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-01-25 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
