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FISHHAWK MODERN DENTISTRY, PA - Florida Company Profile

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Company Details

Entity Name: FISHHAWK MODERN DENTISTRY, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 Nov 2019 (6 years ago)
Document Number: P19000081593
FEI/EIN Number 84-3695479
Mail Address: 17000 RED HILL AVE, IRVINE, CA, 92614, US
Address: 16509 FISHHAWK BLVD, LITHIA, FL, 33547, US
ZIP code: 33547
City: Lithia
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Pham Minh B President 17000 RED HILL AVE, IRVINE, CA, 92614
Button Nicholas R Secretary 17000 RED HILL AVE, IRVINE, CA, 92614
Pham Minh B Chief Financial Officer 17000 RED HILL AVE, IRVINE, CA, 92614
Pham Minh B Director 17000 RED HILL AVE, IRVINE, CA, 92614
Button Nicholas R Director 17000 RED HILL AVE, IRVINE, CA, 92614
Ghazal Carolyn B Director 17000 Red Hill Ave., Irvine, CA, 92614
- Agent -

National Provider Identifier

NPI Number:
1730726506
Certification Date:
2022-08-25

Authorized Person:

Name:
DR. KATIE L MCCANN LEE
Role:
OWNER/GP
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000127162 FISHHAWK MODERN DENTISTRY EXPIRED 2019-12-02 2024-12-31 - 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 2021-12-28
ANNUAL REPORT 2021-04-09
ANNUAL REPORT 2020-04-07
Domestic Profit 2019-11-01

USAspending Awards / Financial Assistance

Date:
2020-04-30
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:
19032.00
Total Face Value Of Loan:
19032.00
Date:
2020-04-30
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:
19032.00
Total Face Value Of Loan:
19032.00

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$19,032
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$19,032
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Servicing Lender:
BMO Bank National Association
Use of Proceeds:
Payroll: $19,032

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Date of last update: 01 Aug 2025

Sources: Florida Department of State