| Entity Name: | DENTISTS OF HOLLYWOOD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 05 Jan 2022 (3 years ago) |
| Document Number: | P22000000610 |
| FEI/EIN Number | 87-4294529 |
| Mail Address: | 17000 RED HILL AVE, IRVINE, CA 92614 |
| Address: | 603 S STATE RD 7 STE A, HOLLYWOOD, FL 33023 |
| ZIP code: | 33023 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770234122 | 2022-01-17 | 2022-01-17 | PO BOX 920050, DALLAS, TX, 753920050, US | 603 S STATE ROAD 7 STE A, HOLLYWOOD, FL, 330236723, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 714-845-8890 |
| Fax | 3039520892 |
| Phone | +1 754-802-3574 |
| Fax | 7548161671 |
Authorized person
| Name | MINH B PHAM |
| Role | OWNER |
| Phone | 7548023574 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Valenzuela, Brian | President | 17000 RED HILL AVE, IRVINE, CA 92614 |
| Name | Role | Address |
|---|---|---|
| Miranda, Nicol | Secretary | 17000 RED HILL AVE, IRVINE, CA 92614 |
| Name | Role | Address |
|---|---|---|
| Pham, Minh B. | Chief Financial Officer | 17000 RED HILL AVE, IRVINE, CA 92614 |
| Name | Role | Address |
|---|---|---|
| Pham, Minh B. | Director | 17000 RED HILL AVE, IRVINE, CA 92614 |
| Miranda, Nicol | Director | 17000 RED HILL AVE, IRVINE, CA 92614 |
| Valenzuela, Brian | Director | 17000 RED HILL AVE, IRVINE, CA 92614 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000006452 | DENTISTS OF HOLLYWOOD | ACTIVE | 2022-01-06 | 2027-12-31 | 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 | 2023-04-17 |
| Domestic Profit | 2022-01-05 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
