| Entity Name: | FONTAINEBLEAU DENTISTRY, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Nov 2015 (9 years ago) |
| Document Number: | P15000094347 |
| FEI/EIN Number | 81-0802675 |
| Mail Address: | 17000 RED HILL AVE, IRVINE, CA, 92614, US |
| Address: | 9971 W. Flagler Street, Miami, FL, 33174, US |
| ZIP code: | 33174 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518322023 | 2015-12-28 | 2022-08-25 | PO BOX 920050, DALLAS, TX, 753920050, US | 9971 W FLAGLER ST, 220, MIAMI, FL, 331741810, US | |||||||||||||||||||
|
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| Phone | +1 714-845-8890 |
| Fax | 9494741495 |
| Phone | +1 786-418-3074 |
| Fax | 7866193746 |
Authorized person
| Name | DR. KATIE L MCCANN |
| Role | OWNER |
| Phone | 7864183074 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Gonzalez Vigon Monica | President | 17000 RED HILL AVE, IRVINE, CA, 92614 |
| Name | Role | Address |
|---|---|---|
| Miranda Nicol | Treasurer | 17000 RED HILL AVE, IRVINE, CA, 92614 |
| Name | Role | Address |
|---|---|---|
| Pham Minh B | Secretary | 17000 RED HILL AVE, IRVINE, CA, 92614 |
| Name | Role | Address |
|---|---|---|
| Miranda Nicol | Director | 17000 RED HILL AVE, IRVINE, CA, 92614 |
| pham minh b | Director | 17000 RED HILL AVE, IRVINE, CA, 92614 |
| Gonzalez Vigon Monica | Director | 17000 RED HILL AVE, IRVINE, CA, 92614 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000024751 | FONTAINEBLEAU DENTISTRY | ACTIVE | 2016-03-08 | 2026-12-31 | No data | 17000 RED HILL AVENUE, ATTENTION: LEGAL DEPARTMENT, IRVINE, CA, 92614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-06-13 | 115 N. CALHOUN ST., STE 4, TALLAHASSEE, FL 32301 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-30 | 9971 W. Flagler Street, Suite 220, Miami, FL 33174 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-04-26 | COGENCY GLOBAL INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-03-23 |
| Reg. Agent Change | 2021-09-02 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-04-27 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-03-25 |
| ANNUAL REPORT | 2016-01-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
