| Entity Name: | LAKELAND MODERN DENTISTRY, PA. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
LAKELAND 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: | 24 Aug 2017 (8 years ago) |
| Document Number: | P17000071376 |
| FEI/EIN Number |
82-2837300
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4620 S FLORIDA AVE STE 120, LAKELAND, FL, 33813 |
| Mail Address: | ATTN: LEGAL DEPARTMENT, 17000 RED HILL AVE, IRVINE, CA, 92614 |
| ZIP code: | 33813 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235649518 | 2017-10-02 | 2022-06-15 | PO BOX 920050, DALLAS, TX, 753920050, US | 4620 S FLORIDA AVE STE 120, LAKELAND, FL, 338132166, US | |||||||||||||||||
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| Phone | +1 714-845-8890 |
| Fax | 3039520892 |
| Phone | +1 863-216-5765 |
Authorized person
| Name | DR. MARY MABRY |
| Role | OWNER DOCTOR |
| Phone | 8632165765 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Mabry Mary | President | ATTN: LEGAL DEPARTMENT, IRVINE, CA, 92614 |
| Button Nicholas R | Secretary | ATTN: LEGAL DEPARTMENT, IRVINE, CA, 92614 |
| Pham Minh B | Chief Financial Officer | ATTN: LEGAL DEPARTMENT, IRVINE, CA, 92614 |
| Button Nicholas R | Director | ATTN: LEGAL DEPARTMENT, IRVINE, CA, 92614 |
| Pham Minh B | Director | ATTN: LEGAL DEPARTMENT, IRVINE, CA, 92614 |
| Mabry Mary | Director | ATTN: LEGAL DEPARTMENT, IRVINE, CA, 92614 |
| COGENCY GLOBAL INC. | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000132067 | LAKELAND MODERN DENTISTRY | ACTIVE | 2017-12-04 | 2027-12-31 | - | 17000 RED HILL AVENUE, ATTN: LEGAL DEPARTMENT, 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 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-03-21 |
| Reg. Agent Change | 2022-01-14 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-04-23 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-26 |
| Domestic Profit | 2017-08-24 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3631107305 | 2020-04-29 | 0455 | PPP | 4620 S. Florida Ave., Suite 120, LAKELAND, FL, 33813-2166 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
