| Entity Name: | GAINESVILLE ORAL AND IMPLANT SURGERY PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Sep 2020 (4 years ago) |
| Document Number: | P20000076740 |
| FEI/EIN Number | 85-3303410 |
| Address: | 6801 NW 9TH BLVD, SUITE 1, GAINESVILLE, FL, 32605, US |
| Mail Address: | 6801 NW 9TH BLVD, SUITE 1, GAINESVILLE, FL, 32605, US |
| ZIP code: | 32605 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841880739 | 2021-01-25 | 2021-02-18 | 6801 NW 9TH BLVD STE 1, GAINESVILLE, FL, 326054263, US | 6801 NW 9TH BLVD STE 1, GAINESVILLE, FL, 326054263, US | |||||||||||||||||||
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| Phone | +1 352-331-2016 |
| Fax | 3523311676 |
Authorized person
| Name | DR. CHRISTOPHER HAMBROOK |
| Role | ORAL AND MAXILLOFACIAL SURGEON |
| Phone | 3523312016 |
Taxonomy
| Taxonomy Code | 204E00000X - Oral & Maxillofacial Surgery (D.M.D.) |
| Is Primary | Yes |
| Taxonomy Code | 261QS0112X - Oral and Maxillofacial Surgery Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| HAMBROOK CHRISTOPHER | Agent | 6801 NW 9TH BLVD, GAINESVILLE, FL, 32605 |
| Name | Role | Address |
|---|---|---|
| HAMBROOK CHRISTOPHER | President | 6801 NW 9TH BLVD, GAINESVILLE, FL, 32605 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-07 | 6801 NW 9TH BLVD, SUITE 1, GAINESVILLE, FL 32605 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-07 | 6801 NW 9TH BLVD, SUITE 1, GAINESVILLE, FL 32605 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-07 | 6801 NW 9TH BLVD, SUITE 1, GAINESVILLE, FL 32605 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-07 |
| ANNUAL REPORT | 2024-01-08 |
| ANNUAL REPORT | 2023-03-30 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-04-07 |
| Domestic Profit | 2020-09-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
