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CORAL SPRINGS MODERN DENTISTRY, PA.

Company Details

Entity Name: CORAL SPRINGS MODERN DENTISTRY, PA.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 07 Jun 2017 (8 years ago)
Document Number: P17000049702
FEI/EIN Number 82-1929367
Address: 5810 WILES RD, CORAL SPRINGS, FL 33067
Mail Address: ATTN: LEGAL DEPARTMENT, 17000 RED HILLS AVE, IRVINE, CA 92614
ZIP code: 33067
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396267100 2017-07-13 2022-08-25 PO BOX 920050, DALLAS, TX, 753920050, US 5810 WILES RD, CORAL SPRINGS, FL, 33067, US

Contacts

Phone +1 714-845-8890
Phone +1 954-314-8343

Authorized person

Name KATIE L. MCCANN
Role DDS/OWNER
Phone 9543148343

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes

Agent

Name Role
COGENCY GLOBAL INC. Agent

President

Name Role Address
Karim, Sara President ATTN: LEGAL DEPARTMENT, 17000 RED HILLS AVE IRVINE, CA 92614

Secretary

Name Role Address
Gonzales, Nathaniel S. Secretary ATTN: LEGAL DEPARTMENT, 17000 RED HILLS AVE IRVINE, CA 92614

Chief Financial Officer

Name Role Address
Pham, Minh B. Chief Financial Officer ATTN: LEGAL DEPARTMENT, 17000 RED HILLS AVE IRVINE, CA 92614

Director

Name Role Address
Gonzales, Nathaniel S. Director ATTN: LEGAL DEPARTMENT, 17000 RED HILLS AVE IRVINE, CA 92614
Karim, Sara Director ATTN: LEGAL DEPARTMENT, 17000 RED HILLS AVE IRVINE, CA 92614
Pham, Minh B. Director ATTN: LEGAL DEPARTMENT, 17000 RED HILLS AVE IRVINE, CA 92614
Ghazal, Carolyn Director 17000 Red Hill Ave., Irvine, CA 92614

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000117859 CORAL SPRINGS MODERN DENTISTRY ACTIVE 2017-10-25 2027-12-31 No data 17000 RED HILL AVENUE, ATTENTION: RAELEA APOLITO, IRVINE, CA, 92614
G17000117864 MY KID'S DENTIST EXPIRED 2017-10-25 2022-12-31 No data 17000 RED HILL AVENUE, 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 No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J18000772624 TERMINATED 1000000804735 BROWARD 2018-11-19 2038-11-21 $ 2,363.27 STATE OF FLORIDA, DEPARTMENT OF REVENUE, LOS ANGELES SERVICE CENTER, 2390 E ORANGEWOOD AVE STE 325, ANAHEIM CA928066158

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-17
ANNUAL REPORT 2022-03-23
Reg. Agent Change 2021-12-06
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
Domestic Profit 2017-06-07

Date of last update: 18 Jan 2025

Sources: Florida Department of State