| Entity Name: | ONE ORAL SURGERY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Apr 2022 (3 years ago) |
| Document Number: | L22000202161 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 3425 DIAMOND FALLS CIRCLE, LAND O LAKES, FL, 34638, US |
| Mail Address: | 3425 DIAMOND FALLS CIRCLE, LAND O LAKES, FL, 34638, US |
| ZIP code: | 34638 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396582177 | 2024-07-10 | 2024-07-10 | 3425 DIAMOND FALLS CIR, LAND O LAKES, FL, 346386205, US | 3012 ALLEGRA WAY, LUTZ, FL, 33559, US | |||||||||||||||||
|
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| Phone | +1 813-553-5344 |
Authorized person
| Name | ALEJANDRO CARIBAS MENDIBLE |
| Role | ORAL SURGEON |
| Phone | 8135535344 |
Taxonomy
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| Is Primary | No |
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MENDIBLE ALEJANDRO C | Agent | 3425 DIAMOND FALLS CIRCLE, LAND O LAKES, FL, 34638 |
| Name | Role | Address |
|---|---|---|
| MENDIBLE ALEJANDRO C | Manager | 3425 DIAMOND FALLS CIRCLE, LAND O LAKES, F:, 34638 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-27 |
| Florida Limited Liability | 2022-04-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
