| Entity Name: | TALLAHASSEE ORAL AND MAXILLOFACIAL SURGERY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 May 2018 (7 years ago) |
| Document Number: | L18000130586 |
| FEI/EIN Number | 83-0698739 |
| Address: | 3665 Coolidge Court, Suite 102, TALLAHASSEE, FL 32311 |
| Mail Address: | 3665 Coolidge Court, Suite 102, TALLAHASSEE, FL 32311 |
| ZIP code: | 32311 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902398639 | 2018-05-30 | 2021-06-04 | 3665 COOLIDGE CT STE 102, TALLAHASSEE, FL, 323117894, US | 3665 COOLIDGE CT STE 102, TALLAHASSEE, FL, 323117894, US | |||||||||||||||
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| Phone | +1 850-431-6725 |
| Fax | 8504316859 |
Authorized person
| Name | RICARDO ORTIZ |
| Role | ORAL AND MAXILLOFACIAL SURGEON |
| Phone | 7875566039 |
Taxonomy
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Ortiz, Ricardo | Agent | 3665 Coolidge Court, Suite 102, TALLAHASSEE, FL 32311 |
| Name | Role | Address |
|---|---|---|
| RICARDOOMFS LLC | Authorized Member | 2300 Bluff Oak WAY, 1105 TALLAHASSEE, FL 32311 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-01-28 | Ortiz, Ricardo | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-08-25 | 3665 Coolidge Court, Suite 102, TALLAHASSEE, FL 32311 | No data |
| CHANGE OF MAILING ADDRESS | 2021-08-25 | 3665 Coolidge Court, Suite 102, TALLAHASSEE, FL 32311 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-08-25 | 3665 Coolidge Court, Suite 102, TALLAHASSEE, FL 32311 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-25 |
| ANNUAL REPORT | 2023-01-28 |
| AMENDED ANNUAL REPORT | 2022-07-20 |
| ANNUAL REPORT | 2022-02-01 |
| AMENDED ANNUAL REPORT | 2021-08-25 |
| ANNUAL REPORT | 2021-03-04 |
| ANNUAL REPORT | 2020-06-25 |
| ANNUAL REPORT | 2019-09-26 |
| Florida Limited Liability | 2018-05-24 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
