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WEST PINES MODERN DENTISTRY, PA - Florida Company Profile

Company Details

Entity Name: WEST PINES MODERN DENTISTRY, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

WEST PINES MODERN DENTISTRY, 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: 28 Mar 2017 (8 years ago)
Document Number: P17000027993
FEI/EIN Number 82-1089818

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

Mail Address: ATTN: LEGAL DEPT., 17000 RED HILL AVENUE, IRVINE, CA, 92614
Address: 18312 Pines Blvd, Pembroke Pines, FL, 33029, US
ZIP code: 33029
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134654064 2017-04-28 2017-04-28 17000 RED HILL AVE, IRVINE, CA, 926145626, US 18312 PINES BLVD, PEMBROKE PINES, FL, 330291412, US

Contacts

Phone +1 714-845-8890
Phone +1 786-204-0713
Fax 7862040714

Authorized person

Name KATIE MCCANN
Role OWNER
Phone 7862040713

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes

Key Officers & Management

Name Role Address
Pham Minh B President ATTN: LEGAL DEPT., IRVINE, CA, 92614
Gonzales Nathaniel S Secretary ATTN: LEGAL DEPT., IRVINE, CA, 92614
Pham Minh B Chief Financial Officer ATTN: LEGAL DEPT., IRVINE, CA, 92614
Gonzales Nathaniel S Director ATTN: LEGAL DEPT., IRVINE, CA, 92614
Pham Minh B Director ATTN: LEGAL DEPT., IRVINE, CA, 92614
Ghazal Carolyn B Director 17000 Red Hill Ave., Irvine, CA, 92614
COGENCY GLOBAL INC. Agent -

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000117851 WEST PINES MODERN DENTISTRY ACTIVE 2017-10-25 2027-12-31 - 17000 RED HILL AVENUE, ATTENTION: RAELEA APOLITO, 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 18312 Pines Blvd, Pembroke Pines, FL 33029 -

Documents

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 2020-05-12
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-26
Domestic Profit 2017-03-28

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6470697309 2020-04-30 0455 PPP 18312 Pines Blvd., Pembroke Pines, FL, 33029
Loan Status Date 2021-08-12
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 58317
Loan Approval Amount (current) 58317
Undisbursed Amount 0
Franchise Name -
Lender Location ID 21442
Servicing Lender Name BMO Bank National Association
Servicing Lender Address 320 S Canal St, Chicago, IL, 60606
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address Pembroke Pines, BROWARD, FL, 33029-0900
Project Congressional District FL-25
Number of Employees 4
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 14315
Originating Lender Name BMO Bank National Association
Originating Lender Address San Francisco, CA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 59023.28
Forgiveness Paid Date 2021-07-22

Date of last update: 01 Apr 2025

Sources: Florida Department of State