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TAKASHI KOYAMA, DMD, PHD, PA - Florida Company Profile

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Company Details

Entity Name: TAKASHI KOYAMA, DMD, PHD, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

TAKASHI KOYAMA, DMD, PHD, PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 30 Mar 2006 (19 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 30 Jan 2009 (16 years ago)
Document Number: P06000045901
FEI/EIN Number 204626112

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 2402 FRIST BOULEVARD, 100, FORT PIERCE, FL, 34950
Mail Address: 12350 S.W. ELSINORE DRIVE, PORT ST. LUCIE, FL, 34987
ZIP code: 34950
County: St. Lucie
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
KOYAMA, DMD, PHD TAKASHI President 12350 S.W. ELSINORE DRIVE, PORT ST. LUCIE, FL, 34987
KOYAMA, DMD, PHD TAKASHI Vice President 12350 S.W. ELSINORE DRIVE, PORT ST. LUCIE, FL, 34987
KOYAMA, DMD, PHD TAKASHI Secretary 12350 S.W. ELSINORE DRIVE, PORT ST. LUCIE, FL, 34987
LI LING P Agent 12350 SW ELSINORE DRIVE, PORT SAINT LUCIE, FL, 34987

National Provider Identifier

NPI Number:
1558429753
Certification Date:
2024-01-31

Authorized Person:

Name:
TANYA GONZALEZ
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
No
Selected Taxonomy:
204E00000X - Oral & Maxillofacial Surgery (D.M.D.)
Is Primary:
Yes

Contacts:

Fax:
7724619300

Form 5500 Series

Employer Identification Number (EIN):
204626112
Plan Year:
2023
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
7
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2010-02-17 LI, LING PH.D -
REGISTERED AGENT ADDRESS CHANGED 2010-02-17 12350 SW ELSINORE DRIVE, PORT SAINT LUCIE, FL 34987 -
CANCEL ADM DISS/REV 2009-01-30 - -
CHANGE OF PRINCIPAL ADDRESS 2009-01-30 2402 FRIST BOULEVARD, 100, FORT PIERCE, FL 34950 -
CHANGE OF MAILING ADDRESS 2009-01-30 2402 FRIST BOULEVARD, 100, FORT PIERCE, FL 34950 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 - -

Documents

Name Date
ANNUAL REPORT 2025-01-27
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-02-10
ANNUAL REPORT 2021-01-20
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-03-05
ANNUAL REPORT 2018-01-24
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-02-01

USAspending Awards / Financial Assistance

Date:
2020-06-12
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00

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Date of last update: 01 Jun 2025

Sources: Florida Department of State