| Entity Name: | WOODLING ORAL SURGERY PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Nov 2021 (3 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 07 Sep 2022 (2 years ago) |
| Document Number: | L21000503535 |
| FEI/EIN Number | 873773831 |
| Address: | 4220 VALLEY RIDGE BLVD, PONTE VEDRA, FL, 32081, US |
| Mail Address: | 4220 VALLEY RIDGE BLVD, PONTE VEDRA, FL, 32081, US |
| ZIP code: | 32081 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538884861 | 2022-10-10 | 2022-10-10 | 1422 LAKEWOOD RD, JACKSONVILLE, FL, 322075322, US | 4220 VALLEY RIDGE BLVD STE 102, PONTE VEDRA, FL, 320815172, US | |||||||||||||
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| Phone | +1 502-648-9915 |
Authorized person
| Name | TYLER WOODLING |
| Role | MEMBER |
| Phone | 5026489915 |
Taxonomy
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KING CHRISTINE M | Agent | 1515 RIVERSIDE AVE., STE. A, JACKSONVILLE, FL, 32204 |
| Name | Role | Address |
|---|---|---|
| WOODLING TYLER DMD | Manager | 1422 LAKEWOOD ROAD, JACKSONVILLE, FL, 32207 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000056590 | WOODLING ORAL SURGERY AND DENTAL IMPLANTS | ACTIVE | 2023-05-04 | 2028-12-31 | No data | 4220 VALLEY RIDGE BLVD, STE 102, PONTE VEDRA, FL, 32081 |
| G22000154443 | NOCATEE ORAL SURGERY AND DENTAL IMPLANTS | ACTIVE | 2022-12-15 | 2027-12-31 | No data | 1422 LAKEWOOD ROAD, JACKSONVILLE, FL, 32207 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-11-08 | 4220 VALLEY RIDGE BLVD, ste 102, PONTE VEDRA, FL 32081 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-10-07 | 4220 VALLEY RIDGE BLVD, ste 102, PONTE VEDRA, FL 32081 | No data |
| LC AMENDMENT AND NAME CHANGE | 2022-09-07 | WOODLING ORAL SURGERY PLLC | No data |
| REGISTERED AGENT NAME CHANGED | 2022-09-07 | KING, CHRISTINE M | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-09-07 | 1515 RIVERSIDE AVE., STE. A, JACKSONVILLE, FL 32204 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-23 |
| ANNUAL REPORT | 2023-01-25 |
| LC Amendment and Name Change | 2022-09-07 |
| AMENDED ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2022-01-24 |
| Florida Limited Liability | 2021-11-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
