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DENTISTS OF PORT CHARLOTTE, PA - Florida Company Profile

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Company Details

Entity Name: DENTISTS OF PORT CHARLOTTE, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 Aug 2019 (6 years ago)
Document Number: P19000063097
FEI/EIN Number 84-3026378
Address: 1720 TAMIAMI TRAIL, STE. 102, PORT CHARLOTTE, FL, 33948
Mail Address: 17000 RED HILL AVE., IRVINE, CA, 92614
ZIP code: 33948
City: Port Charlotte
County: Charlotte
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Azadi Anthony Director 17000 Red Hill Ave., Irvine, CA, 92614
- Agent -
Gonzalez Vigon Monica Director 17000 RED HILL AVE., IRVINE, CA, 92614
Pham Minh B Director 17000 RED HILL AVE., IRVINE, CA, 92614
Azadi Anthony President 17000 RED HILL AVE., IRVINE, CA, 92614
Pham Minh Secretary 17000 RED HILL AVE., IRVINE, CA, 92614
Gonzalez Vigon Monica Chief Financial Officer 17000 RED HILL AVE., IRVINE, CA, 92614

National Provider Identifier

NPI Number:
1013558154

Authorized Person:

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

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
3039520892
Fax:
9417029407

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000119167 DENTISTS OF PORT CHARLOTTE ACTIVE 2019-11-05 2029-12-31 - 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 -

Documents

Name Date
ANNUAL REPORT 2024-04-17
ANNUAL REPORT 2023-04-14
ANNUAL REPORT 2022-03-16
Reg. Agent Change 2021-12-06
ANNUAL REPORT 2021-04-09
ANNUAL REPORT 2020-04-07
Domestic Profit 2019-08-12

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:
28795.00
Total Face Value Of Loan:
28795.00
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:
28795.00
Total Face Value Of Loan:
28795.00

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$28,795
Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$28,795
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$29,151.74
Servicing Lender:
BMO Bank National Association
Use of Proceeds:
Payroll: $28,795

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Date of last update: 03 Aug 2025

Sources: Florida Department of State