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PORT ORANGE MODERN DENTISTRY, PA. - Florida Company Profile

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Company Details

Entity Name: PORT ORANGE MODERN DENTISTRY, PA.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

PORT ORANGE 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: 31 Jul 2018 (7 years ago)
Document Number: P18000066036
FEI/EIN Number 83-1670256

Federal Employer Identification (FEI) Number assigned by the IRS.

Mail Address: 17000 RED HILL AVE, IRVINE, CA, 92614, US
Address: 1765 DUNLAWTON AVE, PORT ORANGE, FL, 32129, US
ZIP code: 32129
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
COGENCY GLOBAL INC. Agent -
Nam Sung M Secretary ATTN:LEGAL DEPARTMENT, IRVINE, CA, 92614
Pham Minh B Chief Financial Officer ATTN:LEGAL DEPARTMENT, IRVINE, CA, 92614
Nam Sung M Director ATTN:LEGAL DEPARTMENT, IRVINE, CA, 92614
Pham Minh B Director ATTN:LEGAL DEPARTMENT, IRVINE, CA, 92614
Song Benjamin President 17000 Red Hill Ave., Irvine, CA, 92614
Ghazal Carolyn M Director 17000 Red Hill Ave., Irvine, CA, 92614

National Provider Identifier

NPI Number:
1982179818
Certification Date:
2022-08-25

Authorized Person:

Name:
DR. MINH B PHAM
Role:
OWNER/GP
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
3039520892
Fax:
3862593905

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000131190 PORT ORANGE MODERN DENTISTRY ACTIVE 2018-12-11 2028-12-31 - 17000 RED HILL AVENUE, ATTENTION: 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 -
CHANGE OF PRINCIPAL ADDRESS 2022-05-20 1765 DUNLAWTON AVE, STE 103, PORT ORANGE, FL 32129 -
CHANGE OF MAILING ADDRESS 2022-05-20 1765 DUNLAWTON AVE, STE 103, PORT ORANGE, FL 32129 -
REGISTERED AGENT NAME CHANGED 2022-05-20 COGENCY GLOBAL INC. -

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-17
Reg. Agent Change 2022-05-20
ANNUAL REPORT 2022-03-21
ANNUAL REPORT 2021-04-14
ANNUAL REPORT 2020-04-23
ANNUAL REPORT 2019-04-30
Domestic Profit 2018-07-31

USAspending Awards / Financial Assistance

Date:
2020-04-29
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:
33912.00
Total Face Value Of Loan:
33912.00

Paycheck Protection Program

Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
33912
Current Approval Amount:
33912
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
34333.07

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Date of last update: 02 Jun 2025

Sources: Florida Department of State