| Entity Name: | MIRAMAR MODERN DENTISTRY, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 May 2021 (4 years ago) |
| Document Number: | P21000050138 |
| FEI/EIN Number | 87-1357015 |
| Mail Address: | 17000 RED HILL AVE, IRVINE, CA, 92614 |
| Address: | 12621 MIRAMAR PKWY BAY 102, MIRAMAR, FL, 33027 |
| ZIP code: | 33027 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821667684 | 2021-06-24 | 2021-06-25 | PO BOX 920050, DALLAS, TX, 753920050, US | 12621 MIRAMAR PKWY BAY 102, MIRAMAR, FL, 330272910, US | |||||||||||||||||||
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| Phone | +1 714-845-8890 |
| Fax | 3039520892 |
| Phone | +1 954-621-1496 |
| Fax | 9546666199 |
Authorized person
| Name | MINH PHAM |
| Role | OWNER |
| Phone | 9546211496 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Ochoa Javier | President | 17000 Red Hill Avenue, Irvine, CA, 92614 |
| Name | Role | Address |
|---|---|---|
| Miranda Nicol | Secretary | 17000 Red Hill Avenue, Irvine, CA, 92614 |
| Name | Role | Address |
|---|---|---|
| Pham Minh B | Treasurer | 17000 RED HILL AVE, IRVINE, CA, 92614 |
| Name | Role | Address |
|---|---|---|
| Gonzales Nathaniel | Director | 17000 RED HILL AVE, IRVINE, CA, 92614 |
| Ochoa Javier | Director | 17000 RED HILL AVE, IRVINE, CA, 92614 |
| Pham Minh | Director | 17000 RED HILL AVE, IRVINE, CA, 92614 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000084040 | MIRAMAR MODERN DENTISTRY | ACTIVE | 2021-06-23 | 2026-12-31 | 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 | 2022-03-16 |
| Reg. Agent Change | 2022-01-14 |
| Domestic Profit | 2021-05-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
