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DENTISTS OF PINES, PA

Company Details

Entity Name: DENTISTS OF PINES, PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 29 Mar 2018 (7 years ago)
Document Number: P18000029327
FEI/EIN Number 82-5090576
Mail Address: 17000 RED HILL AVE, IRVINE, CA 92614
Address: 10430 PINES BLVD., SUITE C103, PEMBROKE PINES, FL 33026
ZIP code: 33026
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972093904 2018-05-15 2018-05-15 17000 RED HILL AVE, IRVINE, CA, 926145626, US 10430 PINES BLVD STE C103, PEMBROKE PINES, FL, 330266049, US

Contacts

Phone +1 714-845-8280
Phone +1 954-251-0238

Authorized person

Name DR. MINH B PHAM
Role OWNER
Phone 9542510238

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes

Agent

Name Role
COGENCY GLOBAL INC. Agent

President

Name Role Address
Miranda, Nicol President ATTN:LEGAL DEPARTMENT, 17000 RED HILL AVE IRVINE, CA 92614

Secretary

Name Role Address
Pham, Minh B. Secretary ATTN:LEGAL DEPARTMENT, 17000 RED HILL AVE IRVINE, CA 92614

Chief Financial Officer

Name Role Address
Gonzales, Nathaniel S. Chief Financial Officer ATTN:LEGAL DEPARTMENT, 17000 RED HILL AVE IRVINE, CA 92614

Director

Name Role Address
Gonzales, Nathaniel S. Director ATTN:LEGAL DEPARTMENT, 17000 RED HILL AVE IRVINE, CA 92614
Pham, Minh B. Director ATTN:LEGAL DEPARTMENT, 17000 RED HILL AVE IRVINE, CA 92614
Miranda, Nicol Director ATTN:LEGAL DEPARTMENT, 17000 RED HILL 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
G18000100120 DENTISTS OF PINES ACTIVE 2018-09-10 2028-12-31 No data 17000 RED HILL AVENUE, ATTN: 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 No data
CHANGE OF PRINCIPAL ADDRESS 2022-03-23 10430 PINES BLVD., SUITE C103, PEMBROKE PINES, FL 33026 No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-17
ANNUAL REPORT 2022-03-23
Reg. Agent Change 2021-12-06
ANNUAL REPORT 2021-04-19
ANNUAL REPORT 2020-04-27
ANNUAL REPORT 2019-04-30
Domestic Profit 2018-03-29

Date of last update: 18 Jan 2025

Sources: Florida Department of State