| Entity Name: | BRANDON MODERN DENTISTRY, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 14 May 2019 (6 years ago) |
| Document Number: | P19000040304 |
| FEI/EIN Number | 84-2176393 |
| Mail Address: | ATTN: LEGAL DEPARTMENT, 17000 RED HILL AVENUE, IRVINE, CA 92614 |
| Address: | 971 E. BLOOMINGDALE AVE., BRANDON, FL 33511 |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831744655 | 2019-08-08 | 2022-08-25 | PO BOX 920050, DALLAS, TX, 753920050, US | 971 E. BLOOMINGDALE AVENUE, BRANDON, FL, 33511, US | |||||||||||||||||||
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| Phone | +1 714-845-8890 |
| Fax | 3039520892 |
| Phone | +1 813-435-3867 |
| Fax | 8134657538 |
Authorized person
| Name | MINH B PHAM |
| Role | OWNER |
| Phone | 8134353867 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Pham, Minh B. | President | ATTN: LEGAL DEPARTMENT, 17000 RED HILL AVENUE IRVINE, CA 92614 |
| Name | Role | Address |
|---|---|---|
| Button, Nicholas R. | Secretary | ATTN: LEGAL DEPARTMENT, 17000 RED HILL AVENUE IRVINE, CA 92614 |
| Name | Role | Address |
|---|---|---|
| Pham, Minh B. | Chief Financial Officer | ATTN: LEGAL DEPARTMENT, 17000 RED HILL AVENUE IRVINE, CA 92614 |
| Name | Role | Address |
|---|---|---|
| Button, Nicholas R. | Director | ATTN: LEGAL DEPARTMENT, 17000 RED HILL AVENUE IRVINE, CA 92614 |
| Pham, Minh B. | Director | ATTN: LEGAL DEPARTMENT, 17000 RED HILL AVENUE IRVINE, CA 92614 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000126814 | BRANDON MODERN DENTISTRY | EXPIRED | 2019-11-29 | 2024-12-31 | No data | 17000 RED HILL AVENUE, ATTENTION: LEGAL DEPARTMENT, 17000 RED HILL AVENUE, 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 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-03-22 |
| Reg. Agent Change | 2022-01-05 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-04-13 |
| Domestic Profit | 2019-05-14 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
