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B&J-OMS, LLC - Florida Company Profile

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Company Details

Entity Name: B&J-OMS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 21 Aug 2024 (a year ago)
Document Number: L24000367853
FEI/EIN Number 99-4613960
Address: 96 Willard St, COCOA, FL, 32922, US
Mail Address: 96 Willard St, COCOA, FL, 32922, US
ZIP code: 32922
City: Cocoa
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CT CORPORATION SYSTEM Agent 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324
JOHNSON JAY A Authorized Representative 6 WILLARD ST., STE. 105, COCOA, FL, 32922
HEITZMAN SCOTT Authorized Representative 651 GRAND PANAMA BLVD., SUITE 106, PANAMA CITY BEACH, FL, 32407
- Authorized Member -

National Provider Identifier

NPI Number:
1831917970
Certification Date:
2024-09-27

Authorized Person:

Name:
DR. JAY A JOHNSON
Role:
OWNER/ORAL SURGEON
Phone:

Taxonomy:

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

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-09-13 96 Willard St, Ste. 105, COCOA, FL 32922 -
CHANGE OF MAILING ADDRESS 2024-09-13 96 Willard St, Ste. 105, COCOA, FL 32922 -

Documents

Name Date
Florida Limited Liability 2024-08-21

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Date of last update: 02 Aug 2025

Sources: Florida Department of State