| Entity Name: | OMSA DB, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 19 Jan 2022 (3 years ago) |
| Document Number: | P22000003805 |
| FEI/EIN Number | 87-4546170 |
| Address: | 15661 SHERIDAN ST., SUITE C4, DAVIE, FL 33331 |
| Mail Address: | 15661 SHERIDAN ST., SUITE C4, DAVIE, FL 33331 |
| ZIP code: | 33331 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992543292 | 2024-07-19 | 2024-07-29 | 505 SE 6TH AVE STE C, DELRAY BEACH, FL, 334835263, US | 505 SE 6TH AVE, DELRAY BEACH, FL, 334835263, US | |||||||||||||||
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| Phone | +1 561-278-0004 |
| Fax | 5612780005 |
Authorized person
| Name | RAMON A PEREZ-ROSICH |
| Role | PRESIDENT |
| Phone | 9546930026 |
Taxonomy
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, ARLENE | Agent | 15661 SHERIDAN ST., SUITE C4, DAVIE, FL 33331 |
| Name | Role | Address |
|---|---|---|
| PEREZ-ROSICH, RAMON | President | 15661 SHERIDAN ST., SUITE C4, DAVIE, FL 33331 |
| Name | Role | Address |
|---|---|---|
| PEREZ-ROSICH, RAMON | Director | 15661 SHERIDAN ST., SUITE C4, DAVIE, FL 33331 |
| JASMIN ORTIZ BATIR | Director | 15661 SHERIDAN ST., SUITE C4, DAVIE, FL 33331 |
| Name | Role | Address |
|---|---|---|
| JASMIN ORTIZ BATIR | Vice President | 15661 SHERIDAN ST., SUITE C4, DAVIE, FL 33331 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-03-28 |
| Domestic Profit | 2022-01-19 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
