| Entity Name: | MIAMI SHORES MODERN DENTISTRY, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 17 Feb 2016 (9 years ago) |
| Document Number: | P16000015233 |
| FEI/EIN Number | 81-1541400 |
| Mail Address: | 17000 RED HILL AVE, IRVINE, CA 92614 |
| Address: | 9503 NE 2nd Avenue, Miami Shores, FL 33138 |
| ZIP code: | 33138 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427418748 | 2016-02-29 | 2016-06-07 | 17000 RED HILL AVE, IRVINE, CA, 926145626, US | 9503 NE 2ND AVE, MIAMI SHORES, FL, 331382704, US | |||||||||||||||||||
|
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| Phone | +1 714-845-8890 |
| Fax | 9494741495 |
| Phone | +1 786-310-4816 |
| Fax | 7866230927 |
Authorized person
| Name | DR. MINH B PHAM |
| Role | OWNER DENTIST |
| Phone | 7863104816 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Pham, Minh B. | President | 17000 RED HILL AVE, IRVINE, CA 92614 |
| Name | Role | Address |
|---|---|---|
| Gonzalez Vigon, Monica | Chief Financial Officer | 17000 Red Hill Ave., Irvine, CA 92614 |
| Name | Role | Address |
|---|---|---|
| Gonzales, Nathaniel S. | Secretary | 17000 RED HILL AVE, IRVINE, CA 92614 |
| Name | Role | Address |
|---|---|---|
| Pham, Minh B. | Director | 17000 RED HILL AVE, IRVINE, CA 92614 |
| Gonzalez Vigon, Monica | Director | 17000 RED HILL AVE, IRVINE, CA 92614 |
| Gonzales, Nathaniel S. | Director | 17000 RED HILL AVE, IRVINE, CA 92614 |
| Ghazal, Carolyn | Director | 17000 Red Hill Ave., Irvine, CA 92614 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000040248 | MIAMI SHORES MODERN DENTISTRY | ACTIVE | 2017-04-13 | 2027-12-31 | No data | 17000 RED HILL AVENUE, ATTN: LEGAL DEPARTMENT, IRVINE, CA, 92614 |
| G17000040249 | MY KID'S DENTIST | EXPIRED | 2017-04-13 | 2022-12-31 | No data | 17000 RED HILL AVENUE, 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 | 2022-03-23 | 9503 NE 2nd Avenue, Miami Shores, FL 33138 | 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 | 2017-03-24 |
| Domestic Profit | 2016-02-17 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
