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CENTRAL FLORIDA ORAL SURGERY, PLLC

Company Details

Entity Name: CENTRAL FLORIDA ORAL SURGERY, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 06 Dec 2019 (5 years ago)
Date of dissolution: 27 Sep 2024 (5 months ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (5 months ago)
Document Number: L19000298486
FEI/EIN Number 84-3979612
Address: 1950 LAUREL MANOR DRIVE, STE 174, THE VILLAGES, FL, 32162, US
Mail Address: 1950 LAUREL MANOR DRIVE, STE 174, THE VILLAGES, FL, 32162, US
ZIP code: 32162
County: Sumter
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831867415 2021-08-31 2021-08-31 1950 LAUREL MANOR DRIVE, SUITE 174, THE VILLAGES, FL, 32162, US 1950 LAUREL MANOR DRIVE, SUITE 174, THE VILLAGES, FL, 32162, US

Contacts

Phone +1 352-391-5550
Fax 3523911096

Authorized person

Name JAD JAFFAL
Role OWNER
Phone 3523915550

Taxonomy

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

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CENTRAL FLORIDA ORAL SURGERY 401(K) PLAN 2023 843979612 2024-10-14 CENTRAL FLORIDA ORAL SURGERY PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 3523915550
Plan sponsor’s address 1950 LAUREL MANOR DR. #174, THE VILLAGES, FL, 32162
CENTRAL FLORIDA ORAL SURGERY 401(K) PLAN 2023 843979612 2024-10-14 CENTRAL FLORIDA ORAL SURGERY PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 3523915550
Plan sponsor’s address 1950 LAUREL MANOR DR. #174, THE VILLAGES, FL, 32162
CENTRAL FLORIDA ORAL SURGERY 401(K) PLAN 2022 843979612 2023-10-14 CENTRAL FLORIDA ORAL SURGERY PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 3523915550
Plan sponsor’s address 1950 LAUREL MANOR DR. #174, THE VILLAGES, FL, 32162
CENTRAL FLORIDA ORAL SURGERY 401(K) PLAN 2021 843979612 2022-10-15 CENTRAL FLORIDA ORAL SURGERY PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 3523915550
Plan sponsor’s address 1950 LAUREL MANOR DR. #174, THE VILLAGES, FL, 32162

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324

Manager

Name Role Address
JAFFAL JAD Manager 1950 LAUREL MANOR DRIVE, STE 174, THE VILLAGES, FL, 32162

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2023-04-28 1950 LAUREL MANOR DRIVE, STE 174, THE VILLAGES, FL 32162 No data
CHANGE OF MAILING ADDRESS 2023-04-28 1950 LAUREL MANOR DRIVE, STE 174, THE VILLAGES, FL 32162 No data
REGISTERED AGENT NAME CHANGED 2023-04-28 CT CORPORATION SYSTEM No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-28 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 No data

Documents

Name Date
Reg. Agent Change 2023-04-28
ANNUAL REPORT 2023-03-31
ANNUAL REPORT 2022-02-03
ANNUAL REPORT 2021-04-06
ANNUAL REPORT 2020-06-30
Florida Limited Liability 2019-12-06

Date of last update: 02 Feb 2025

Sources: Florida Department of State