| Entity Name: | FISHHAWK MODERN DENTISTRY, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
FISHHAWK MODERN DENTISTRY, PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 01 Nov 2019 (6 years ago) |
| Document Number: | P19000081593 |
| FEI/EIN Number |
84-3695479
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 17000 RED HILL AVE, IRVINE, CA, 92614, US |
| Address: | 16509 FISHHAWK BLVD, LITHIA, FL, 33547, US |
| ZIP code: | 33547 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730726506 | 2019-11-29 | 2022-08-25 | PO BOX 920050, DALLAS, TX, 753920050, US | 16509 FISHHAWK BLVD, LITHIA, FL, 335473835, US | |||||||||||||
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| Phone | +1 813-563-8108 |
Authorized person
| Name | DR. KATIE L MCCANN LEE |
| Role | OWNER/GP |
| Phone | 8135638108 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| 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 |
| COGENCY GLOBAL INC. | Agent | - |
| 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 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-06-13 | 115 N. CALHOUN ST., STE 4, TALLAHASSEE, FL 32301 | - |
| 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 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7473217305 | 2020-04-30 | 0455 | PPP | 16509 Fishhawk Blvd., Lithia, FL, 33547 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 May 2025
Sources: Florida Department of State
