| Entity Name: | B&J-OMS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Aug 2024 (5 months ago) |
| Document Number: | L24000367853 |
| Address: | 96 Willard St, COCOA, FL, 32922, US |
| Mail Address: | 96 Willard St, COCOA, FL, 32922, US |
| ZIP code: | 32922 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831917970 | 2024-09-27 | 2024-09-27 | 96 WILLARD ST STE 105, COCOA, FL, 329227945, US | 96 WILLARD ST STE 105, COCOA, FL, 329227945, US | |||||||||||||
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| Phone | +1 321-291-5196 |
Authorized person
| Name | DR. JAY A JOHNSON |
| Role | OWNER/ORAL SURGEON |
| Phone | 3212915196 |
Taxonomy
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| 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 |
| Name | Role |
|---|---|
| HIGHFIVE OMFS FLORIDA, P.A. | Authorized Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-13 | 96 Willard St, Ste. 105, COCOA, FL 32922 | No data |
| CHANGE OF MAILING ADDRESS | 2024-09-13 | 96 Willard St, Ste. 105, COCOA, FL 32922 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-08-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
