| Entity Name: | ORAL MEDICINE ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 28 Mar 2022 (3 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 12 May 2022 (3 years ago) |
| Document Number: | P22000022923 |
| FEI/EIN Number | 88-1488118 |
| Address: | 3046 VIRGINIA ST #3046, MIAMI, FL 33133 |
| Mail Address: | 3046 Virginia St, #3046, MIAMI, FL 33133 |
| ZIP code: | 33133 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629713979 | 2022-05-02 | 2024-02-26 | 3046 VIRGINIA ST # 3046, MIAMI, FL, 331334524, US | 8900 N KENDALL DR, MIAMI, FL, 331762118, US | |||||||||||||||||||||||
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| Phone | +1 339-226-2744 |
| Phone | +1 415-476-2431 |
Authorized person
| Name | DR. ALESSANDRO VILLA |
| Role | OWNER |
| Phone | 3392262744 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | No |
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| Is Primary | Yes |
| Taxonomy Code | 125Q00000X - Oral Medicine |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| VILLA , ALESSANDRO | Agent | 3046 VIRGINIA ST #3046, MIAMI, FL 33133 |
| Name | Role | Address |
|---|---|---|
| VILLA DDS PHD MPH, ALESSANDRO | Director | 3046 VIRGINIA ST, #3046, MIAMI, FL 33133 |
| Name | Role | Address |
|---|---|---|
| VILLA DDS PHD MPH, ALESSANDRO | President | 3046 VIRGINIA ST, #3046, MIAMI, FL 33133 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-26 | 3046 VIRGINIA ST #3046, MIAMI, FL 33133 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-03-26 | VILLA , ALESSANDRO | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-26 | 3046 VIRGINIA ST #3046, MIAMI, FL 33133 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-03 | 3046 VIRGINIA ST #3046, MIAMI, FL 33133 | No data |
| AMENDMENT | 2022-05-12 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-26 |
| ANNUAL REPORT | 2023-04-13 |
| Amendment | 2022-05-12 |
| Domestic Profit | 2022-03-28 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
