| Entity Name: | DANIELS MODERN DENTISTRY, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 07 May 2018 (7 years ago) |
| Document Number: | P18000040780 |
| FEI/EIN Number | 83-0541772 |
| Mail Address: | 17000 RED HILL AVENUE, IRVINE, CA 92614 |
| Address: | 6871 DANIELS PKWY STE 100, FT MYERS, FL 33912 |
| ZIP code: | 33912 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952892291 | 2018-05-22 | 2022-08-25 | PO BOX 920050, DALLAS, TX, 753920050, US | 6871 DANIELS PARKWAY, SUITE 100, FORT MYERS, FL, 33912, US | |||||||||||||||
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| Phone | +1 714-845-8280 |
| Phone | +1 239-288-0537 |
Authorized person
| Name | DR. KATIE L MCCANN LEE |
| Role | OWNER/DDS |
| Phone | 2392880537 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Griffith, Tyler J. | President | 17000 RED HILL AVENUE, IRVINE, CA 92614 |
| Name | Role | Address |
|---|---|---|
| Gonzalez Vigon, Monica | Secretary | 17000 RED HILL AVENUE, IRVINE, CA 92614 |
| Name | Role | Address |
|---|---|---|
| Pham, Minh B. | Chief Financial Officer | 17000 RED HILL AVENUE, IRVINE, CA 92614 |
| Name | Role | Address |
|---|---|---|
| Gonzalez Vigon, Monica | Director | 17000 RED HILL AVENUE, IRVINE, CA 92614 |
| Pham, Minh B. | Director | 17000 RED HILL AVENUE, IRVINE, CA 92614 |
| Griffith, Tyler J. | Director | 17000 RED HILL AVENUE, IRVINE, CA 92614 |
| Ghazal, Carolyn | Director | 17000 Red Hill Ave., Irvine, CA 92614 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000090851 | DANIELS MODERN DENTISTRY | ACTIVE | 2018-08-15 | 2028-12-31 | No data | 17000 RED HILL AVENUE, ATTENTION: 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 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-23 | 6871 DANIELS PKWY STE 100, FT MYERS, FL 33912 | No data |
| 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 | 2020-04-24 |
| ANNUAL REPORT | 2019-04-30 |
| Domestic Profit | 2018-05-07 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
