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CORAL SPRINGS MODERN DENTISTRY, PA. - Florida Company Profile

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Company Details

Entity Name: CORAL SPRINGS MODERN DENTISTRY, PA.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
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
City: Pompano Beach
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Karim Sara President ATTN: LEGAL DEPARTMENT, IRVINE, CA, 92614
Gonzales Nathaniel S Secretary ATTN: LEGAL DEPARTMENT, IRVINE, CA, 92614
Pham Minh B Chief Financial Officer ATTN: LEGAL DEPARTMENT, IRVINE, CA, 92614
Gonzales Nathaniel S Director ATTN: LEGAL DEPARTMENT, IRVINE, CA, 92614
Karim Sara Director ATTN: LEGAL DEPARTMENT, IRVINE, CA, 92614
Pham Minh Director ATTN: LEGAL DEPARTMENT, IRVINE, CA, 92614
- Agent -

National Provider Identifier

NPI Number:
1396267100
Certification Date:
2022-08-25

Authorized Person:

Name:
KATIE L. MCCANN
Role:
DDS/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

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 - 17000 RED HILL AVENUE, ATTENTION: RAELEA APOLITO, IRVINE, CA, 92614
G17000117864 MY KID'S DENTIST EXPIRED 2017-10-25 2022-12-31 - 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 -

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

USAspending Awards / Financial Assistance

Date:
2020-04-30
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:
50252.00
Total Face Value Of Loan:
50252.00
Date:
2020-04-30
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:
50252.00
Total Face Value Of Loan:
50252.00

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$50,252
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$50,252
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$50,866.19
Servicing Lender:
BMO Bank National Association
Use of Proceeds:
Payroll: $50,252

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Date of last update: 01 Aug 2025

Sources: Florida Department of State