| Entity Name: | SOUTH FLORIDA ORAL & MAXILLOFACIAL SURGERY PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 10 Apr 2023 (2 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 07 Nov 2023 (a year ago) |
| Document Number: | L23000169383 |
| FEI/EIN Number | 65-0836044 |
| Address: | 1025 MILITARY TRAIL, SUITE 110, JUPITER, FL 33458 |
| Mail Address: | 12770 Merit Drive, STE 800, DALLAS, TX 75251 |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164504189 | 2006-10-19 | 2020-08-22 | 3400 BURNS RD, #103, PALM BEACH GARDENS, FL, 33410, US | 3400 BURNS RD, #103, PALM BEACH GARDENS, FL, 334104325, US | |||||||||||||||
|
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| Phone | +1 561-624-7116 |
| Fax | 5616247026 |
Authorized person
| Name | THERESA STRAUSS |
| Role | FINANCIAL COORDINATOR |
| Phone | 4067562415 |
Taxonomy
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| GUZMAN, JERONIMO, D.D.S. | Manager | 1025 MILITARY TRAIL, SUITE 110, JUPITER, FL 33458 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2025-02-06 | 1025 MILITARY TRAIL, SUITE 110, JUPITER, FL 33458 | No data |
| LC STMNT OF RA/RO CHG | 2023-11-07 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-11-07 | C T CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-11-07 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| CONVERSION | 2023-04-10 | No data | GEN-COR CONVERSION RESULT. THE CONVERTING ENTITY WAS GP0300000702 ORIGINALLY FILED ON 04/21/2003. CONVERSION NUMBER 100000238591 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-06 |
| ANNUAL REPORT | 2024-03-07 |
| CORLCRACHG | 2023-11-07 |
| Florida Limited Liability | 2023-04-10 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
