| Entity Name: | NAPLES MODERN DENTISTRY, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 30 Jan 2019 (6 years ago) |
| Document Number: | P19000008620 |
| FEI/EIN Number | 83-3678982 |
| Mail Address: | 17000 RED HILL AVE., IRVINE, CA 92614 |
| Address: | 7430 IMMOKALEE RD., SUITE 102, NAPLES, FL 34119 |
| ZIP code: | 34119 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215495577 | 2019-03-06 | 2022-08-25 | PO BOX 920050, DALLAS, TX, 753920050, US | 7430 IMMOKALEE RD STE 102, NAPLES, FL, 341191483, US | |||||||||||||
|
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| Phone | +1 239-316-3763 |
Authorized person
| Name | DR. MINH B PHAM |
| Role | OWNER/DDS |
| Phone | 2393163763 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Hussain, Faryal | President | 17000 RED HILL AVE., IRVINE, CA 92614 |
| Name | Role | Address |
|---|---|---|
| Gonzalez Vigon, Monica | Secretary | 17000 RED HILL AVE., IRVINE, CA 92614 |
| Name | Role | Address |
|---|---|---|
| Pham, Minh B. | Chief Financial Officer | 17000 RED HILL AVE., IRVINE, CA 92614 |
| Name | Role | Address |
|---|---|---|
| Gonzalez Vigon, Monica | Director | 17000 RED HILL AVE., IRVINE, CA 92614 |
| Pham, Minh B. | Director | 17000 RED HILL AVE., IRVINE, CA 92614 |
| Hussain, Faryal | Director | 17000 RED HILL AVE., 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 |
|---|---|---|---|---|---|---|
| G19000086199 | NAPLES MODERN DENTISTRY | EXPIRED | 2019-08-14 | 2024-12-31 | No data | 17000 RED HILL AVENUE, ATTN: LEGAL DEPARTMENT, IRVINE, CA, 92614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-12-30 | 7430 IMMOKALEE RD., SUITE 102, NAPLES, FL 34119 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-06-13 | 115 N. CALHOUN ST., STE 4, TALLAHASSEE, FL 32301 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-20 | 7430 IMMOKALEE RD., SUITE 102, NAPLES, FL 34119 | No data |
| CHANGE OF MAILING ADDRESS | 2022-05-20 | 7430 IMMOKALEE RD., SUITE 102, NAPLES, FL 34119 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-05-20 | COGENCY GLOBAL INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-03-22 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-04-24 |
| Domestic Profit | 2019-01-30 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
