| Entity Name: | BOYNTON BEACH MODERN DENTISTRY, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 26 Mar 2019 (6 years ago) |
| Document Number: | P19000025642 |
| FEI/EIN Number | 83-4320921 |
| Mail Address: | 17000 RED HILL AVE, IRVINE, CA, 92614, US |
| Address: | 7375 Boynton Beach Blvd,, BOYNTON BEACH, FL, 33437, US |
| ZIP code: | 33437 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194288985 | 2019-04-09 | 2024-07-10 | PO BOX 920050, DALLAS, TX, 753920050, US | 7375 BOYNTON BEACH BLVD, BLDG D, SUITE 445, BOYNTON BEACH, FL, 33437, US | |||||||||||||
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| Phone | +1 561-200-2904 |
Authorized person
| Name | DR. MINH PHAM |
| Role | OWNER/DDS |
| Phone | 5612002904 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Pham Minh B | President | 17000 RED HILL AVE, IRVINE, CA, 92614 |
| Name | Role | Address |
|---|---|---|
| Tolmie Christopher K | 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 |
|---|---|---|
| Tolmie Christopher K | Director | 17000 RED HILL AVE, IRVINE, CA, 92614 |
| Pham Minh B | Director | 17000 RED HILL AVE, IRVINE, CA, 92614 |
| Ghazal Carolyn B | Director | 17000 Red Hill Ave., Irvine, CA, 92614 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000101445 | BOYNTON BEACH MODERN DENTISTRY | ACTIVE | 2024-08-26 | 2029-12-31 | No data | 17000 RED HILL AVENUE, ATTENTION: LEGAL DEPARTMENT, IRVINE, CA, 92614 |
| G19000086678 | BOYNTON MODERN DENTISTRY | EXPIRED | 2019-08-16 | 2024-12-31 | No data | 17000 RED HILL AVENUE, ATTN: LEGAL DEPARTMENT, IRVINE, CA, 92614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-21 | 7375 Boynton Beach Blvd,, Bldg D, Suite 445, BOYNTON BEACH, FL 33437 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-06-13 | 115 N. CALHOUN ST., STE 4, TALLAHASSEE, FL 32301 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-03-22 |
| Reg. Agent Change | 2022-01-05 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-04-24 |
| Domestic Profit | 2019-03-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
