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  5. ASON MAXILLOFACIAL SURGERY PA

ASON MAXILLOFACIAL SURGERY PA

Company Details

Entity Name: ASON MAXILLOFACIAL SURGERY PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 06 Sep 2011 (13 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 14 Jan 2013 (12 years ago)
Document Number: P11000078652
FEI/EIN Number 45-3168367
Address: 3172 BILL BECK BLVD, KISSIMMEE, FL 34744
Mail Address: 3172 BILL BECK BLVD, KISSIMMEE, FL 34744
ZIP code: 34744
County: Osceola
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376972554 2013-11-07 2013-11-07 3172 BILL BECK BLVD, KISSIMMEE, FL, 347441608, US 3172 BILL BECK BLVD, KISSIMMEE, FL, 347441608, US

Contacts
Phone +1 407-483-4939
Fax 4074834941

Authorized person
Name DR. RAPHAEL ALEJANDRO ASON
Role OWNER
Phone 4074834939

Taxonomy
Taxonomy Code 1223S0112X - Oral and Maxillofacial Surgery (Dentist)
License Number DN17160
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ASON MAXILLOFACIAL SURGERY PA 401(K) PROFIT SHARING PLAN & TRUST 2023 453168367 2024-06-03 ASON MAXILLOFACIAL SURGERY PA 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621510
Sponsor’s telephone number 4077049517
Plan sponsor’s address 3172 BILL BECK BLVD, KISSIMMEE, FL, 34744

Signature of
Role Plan administrator
Date 2024-06-03
Name of individual signing RAPHAEL ASON
Valid signature Filed with authorized/valid electronic signature
ASON MAXILLOFACIAL SURGERY PA CASH BALANCE PENSION PLAN 2023 453168367 2024-06-03 ASON MAXILLOFACIAL SURGERY PA 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2021-01-01
Business code 621510
Sponsor’s telephone number 4074834939
Plan sponsor’s address 3172 BILL BECK BLVD., KISSIMMEE, FL, 34744
ASON MAXILLOFACIAL SURGERY PA CASH BALANCE PENSION PLAN 2022 453168367 2023-07-14 ASON MAXILLOFACIAL SURGERY PA 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2021-01-01
Business code 621510
Sponsor’s telephone number 4074834939
Plan sponsor’s address 3172 BILL BECK BLVD., KISSIMMEE, FL, 34744
ASON MAXILLOFACIAL SURGERY PA 401(K) PROFIT SHARING PLAN & TRUST 2022 453168367 2023-04-15 ASON MAXILLOFACIAL SURGERY PA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621510
Sponsor’s telephone number 4077049517
Plan sponsor’s address 3172 BILL BECK BLVD, KISSIMMEE, FL, 34744

Signature of
Role Plan administrator
Date 2023-04-15
Name of individual signing DEBBIE ASON
Valid signature Filed with authorized/valid electronic signature
ASON MAXILLOFACIAL SURGERY PA PROFIT SHARING PLAN 2022 453168367 2023-06-04 ASON MAXILLOFACIAL SURGERY PA 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621399
Sponsor’s telephone number 4077049517
Plan sponsor’s address 3172 BILL BECK BLVD, KISSIMMEE, FL, 34744

Signature of
Role Plan administrator
Date 2023-06-04
Name of individual signing DEBBIE ASON
Valid signature Filed with authorized/valid electronic signature
ASON MAXILLOFACIAL SURGERY PA PROFIT SHARING PLAN 2021 453168367 2022-09-22 ASON MAXILLOFACIAL SURGERY PA 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621399
Sponsor’s telephone number 4077049517
Plan sponsor’s address 3172 BILL BECK BLVD, KISSIMMEE, FL, 34744

Signature of
Role Plan administrator
Date 2022-09-22
Name of individual signing DEBBIE ASON
Valid signature Filed with authorized/valid electronic signature
ASON MAXILLOFACIAL SURGERY PA 401(K) PROFIT SHARING PLAN & TRUST 2021 453168367 2022-04-28 ASON MAXILLOFACIAL SURGERY PA 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621510
Sponsor’s telephone number 4077049517
Plan sponsor’s address 3172 BILL BECK BLVD, KISSIMMEE, FL, 34744

Signature of
Role Plan administrator
Date 2022-04-28
Name of individual signing RAPHAEL ASON
Valid signature Filed with authorized/valid electronic signature
ASON MAXILLOFACIAL SURGERY PA 401(K) PROFIT SHARING PLAN & TRUST 2020 453168367 2021-04-12 ASON MAXILLOFACIAL SURGERY PA 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621510
Sponsor’s telephone number 4077049517
Plan sponsor’s address 3172 BILL BECK BLVD, KISSIMMEE, FL, 34744

Signature of
Role Plan administrator
Date 2021-04-12
Name of individual signing RAPHAEL ASON
Valid signature Filed with authorized/valid electronic signature
ASON MAXILLOFACIAL SURGERY PA 401(K) PROFIT SHARING PLAN & TRUST 2019 453168367 2020-05-02 ASON MAXILLOFACIAL SURGERY PA 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621510
Sponsor’s telephone number 4077049517
Plan sponsor’s address 3172 BILL BECK BLVD, KISSIMMEE, FL, 34744

Signature of
Role Plan administrator
Date 2020-05-02
Name of individual signing RAPHAEL ASON
Valid signature Filed with authorized/valid electronic signature
ASON MAXILLOFACIAL SURGERY PA 401 K PROFIT SHARING PLAN TRUST 2018 453168367 2019-06-18 ASON MAXILLOFACIAL SURGERY PA 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621510
Sponsor’s telephone number 4077049517
Plan sponsor’s address 3172 BILL BECK BLVD, KISSIMMEE, FL, 34744

Signature of
Role Plan administrator
Date 2019-06-18
Name of individual signing RAPHAEL ASON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ASON, RAPHAEL A, DMD, MD Agent 3172 BILL BECK BLVD, KISSIMMEE, FL 34744

President

Name Role Address
ASON, RAPHAEL A, DMD President 3172 BILL BECK BLVD, KISSIMMEE, FL 34744

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000084252 MAGIC SMILES ACTIVE 2022-07-15 2027-12-31 No data 3172 BILL BECK BOULEVARD, KISSIMMEE, FL, 34744
G13000024651 KISSIMMEE ORAL SURGERY EXPIRED 2013-03-06 2018-12-31 No data 100 SOUTH EOLA DR #1212, ORLANDO, FL, 32801

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2016-01-04 3172 BILL BECK BLVD, KISSIMMEE, FL 34744 No data
CHANGE OF PRINCIPAL ADDRESS 2013-09-19 3172 BILL BECK BLVD, KISSIMMEE, FL 34744 No data
CHANGE OF MAILING ADDRESS 2013-09-19 3172 BILL BECK BLVD, KISSIMMEE, FL 34744 No data
REINSTATEMENT 2013-01-14 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-07
ANNUAL REPORT 2024-01-04
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-01-04
ANNUAL REPORT 2021-01-04
ANNUAL REPORT 2020-01-06
ANNUAL REPORT 2019-01-06
ANNUAL REPORT 2018-01-04
ANNUAL REPORT 2017-01-03
ANNUAL REPORT 2016-01-04

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 23 Feb 2025

Sources: Florida Department of State

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