Search icon

SOUTH KENDALL DENTISTRY, PA

Company Details

Entity Name: SOUTH KENDALL DENTISTRY, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 21 Nov 2019 (5 years ago)
Document Number: P19000088514
FEI/EIN Number 84-3871349
Address: 15213 SW 127TH AVENUE, SUITE 3, MIAMI, FL, 33177, US
Mail Address: 17000 RED HILL AVE, IRVINE, FL, 92614, US
ZIP code: 33177
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881232221 2019-12-17 2022-08-25 PO BOX 920050, DALLAS, TX, 753920050, US 15201 SW 127TH AVE., SUITE 3, MIAMI, FL, 33177, US

Contacts

Phone +1 786-870-4805

Authorized person

Name DR. MINH B PHAM
Role OWNER
Phone 7868704805

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes

Agent

Name Role
COGENCY GLOBAL INC. Agent

President

Name Role Address
Vazquez Omar President 17000 Red Hill Ave., Irvine, CA, 92614

Secretary

Name Role Address
Pham Minh B Secretary 17000 Red Hill Ave., Irvine, CA, 92614

Director

Name Role Address
Pham Minh B Director 17000 Red Hill Ave., Irvine, CA, 92614
Vazquez, Omar Director 17000 Red Hill Ave., Irvine, CA, 92614
Gonzales Nathaniel Director 17000 Red Hill Ave., Irvine, CA, 92614

Treasurer

Name Role Address
Vigon Monica Treasurer 17000 Red Hill Ave., Irvine, CA, 92614

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000012859 SOUTH KENDALL DENTISTRY ACTIVE 2020-01-28 2025-12-31 No data 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 No data
CHANGE OF PRINCIPAL ADDRESS 2023-02-08 15213 SW 127TH AVENUE, SUITE 3, MIAMI, FL 33177 No data
CHANGE OF MAILING ADDRESS 2022-05-20 15213 SW 127TH AVENUE, SUITE 3, MIAMI, FL 33177 No data
REGISTERED AGENT NAME CHANGED 2022-05-20 COGENCY GLOBAL INC. No data

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-02-08
Reg. Agent Change 2022-05-20
ANNUAL REPORT 2022-03-21
ANNUAL REPORT 2021-04-19
ANNUAL REPORT 2020-04-24
Domestic Profit 2019-11-21

Date of last update: 02 Feb 2025

Sources: Florida Department of State