| Entity Name: | DEERFIELD MODERN DENTISTRY, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Mar 2020 (5 years ago) |
| Document Number: | P20000025037 |
| FEI/EIN Number | 85-0544449 |
| Address: | 778 S FEDERAL HWY, DEERFIELD BEACH, FL, 33441 |
| Mail Address: | ATTN:LEGAL DEPARTMENT, 17000 RED HILL AVENUE, IRVING, CA, 92614 |
| ZIP code: | 33441 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790393890 | 2020-07-15 | 2022-06-14 | PO BOX 920050, DALLAS, TX, 753920050, US | 778 S FEDERAL HWY, DEERFIELD BEACH, FL, 334415767, US | |||||||||||||||||||
|
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| Phone | +1 714-845-8890 |
| Fax | 3039520892 |
| Phone | +1 754-333-2966 |
| Fax | 7543334026 |
Authorized person
| Name | ANTHONY AZADI |
| Role | OWNER |
| Phone | 7543332966 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Azadi Anthony A | President | ATTN:LEGAL DEPARTMENT, IRVING, CA, 92614 |
| Name | Role | Address |
|---|---|---|
| Gonzales, Nathaniel S | Secretary | ATTN:LEGAL DEPARTMENT, IRVING, CA, 92614 |
| Name | Role | Address |
|---|---|---|
| Pham Minh B | Treasurer | ATTN:LEGAL DEPARTMENT, IRVING, CA, 92614 |
| Name | Role | Address |
|---|---|---|
| Pham Minh B | Director | ATTN:LEGAL DEPARTMENT, IRVING, CA, 92614 |
| Azadi Anthony A | Director | ATTN:LEGAL DEPARTMENT, IRVING, CA, 92614 |
| Gonzales Nathaniel A | Director | ATTN:LEGAL DEPARTMENT, IRVING, CA, 92614 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000079987 | DEERFIELD MODERN DENTISTRY | ACTIVE | 2020-07-08 | 2025-12-31 | No data | 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 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-02-22 |
| Reg. Agent Change | 2021-12-06 |
| ANNUAL REPORT | 2021-04-07 |
| Domestic Profit | 2020-03-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
