Search icon

LAKE MARY MODERN DENTISTRY, P.A. - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: LAKE MARY MODERN DENTISTRY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 28 Mar 2017 (8 years ago)
Document Number: P17000027990
FEI/EIN Number 82-1004607
Address: 3779 Lake Emma Road, Lake Mary, FL, 32746, US
Mail Address: ATTN: LEGAL DEPT., 17000 RED HILL AVENUE, IRVINE, CA, 92614
ZIP code: 32746
City: Lake Mary
County: Seminole
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Nam Sung M Director ATTN: LEGAL DEPT., IRVINE, CA, 92614
Pham Minh B Director ATTN: LEGAL DEPT., IRVINE, CA, 92614
Hameedi Imran A Director ATTN: LEGAL DEPT., IRVINE, CA, 92614
Pham Minh Secretary 17000 Red Hill Ave., Irvine, CA, 92614
Sung Nam A Chief Financial Officer 17000 Red Hill Ave., Irvine, CA, 92614
Hameedi Imran A President ATTN: LEGAL DEPT., IRVINE, CA, 92614
- Agent -

National Provider Identifier

NPI Number:
1053849646
Certification Date:
2022-04-13

Authorized Person:

Name:
DR. IMRAN A. HAMEEDI
Role:
DDS/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
9494741495

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000128527 LAKE MARY MODERN DENTISTRY ACTIVE 2017-11-22 2027-12-31 - 17000 RED HILL AVENUE, ATTENTION: LEGAL DEPARTMENT, IRVINE, CA, 92614

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-06-13 115 N. CALHOUN ST., STE 4, TALLAHASSEE, FL 32301 -
CHANGE OF PRINCIPAL ADDRESS 2019-04-30 3779 Lake Emma Road, Lake Mary, FL 32746 -

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-04-17
ANNUAL REPORT 2022-03-21
Reg. Agent Change 2021-09-02
ANNUAL REPORT 2021-04-14
ANNUAL REPORT 2020-04-13
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-26
Domestic Profit 2017-03-28

USAspending Awards / Financial Assistance

Date:
2020-04-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
59855.00
Total Face Value Of Loan:
59855.00

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$59,855
Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$59,855
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$60,598.2
Servicing Lender:
BMO Bank National Association
Use of Proceeds:
Payroll: $59,855

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 01 Aug 2025

Sources: Florida Department of State