| Entity Name: | DENTISTS OF BOCA VILLAGE, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Mar 2022 (3 years ago) |
| Document Number: | P22000017880 |
| FEI/EIN Number | 88-1137804 |
| Address: | 21200 ST ANDREWS BLVD UNITS 11 & 12, BOCA RATON, FL, 33433 |
| Mail Address: | 17000 RED HILL AVE, IRVINE, CA, 92614 |
| ZIP code: | 33433 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073261699 | 2022-03-14 | 2022-03-14 | PO BOX 920050, DALLAS, TX, 753920050, US | 21200 SAINT ANDREWS BLVD, BOCA RATON, FL, 334332403, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 714-845-8890 |
| Fax | 3039520892 |
| Phone | +1 561-571-7108 |
| Fax | 5615848162 |
Authorized person
| Name | MINH B PHAM |
| Role | OWNER |
| Phone | 5615717108 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Pham Minh B | President | 17000 RED HILL AVE, IRVINE, CA, 92614 |
| Name | Role | Address |
|---|---|---|
| Azadi Anthony A | 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 |
| Azadi Anthony A | Director | 17000 RED HILL AVE, IRVINE, CA, 92614 |
| Tolmie Christopher B | Director | 17000 RED HILL AVE, IRVINE, CA, 92614 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000143193 | DENTISTS OF BOCA VILLAGE | ACTIVE | 2022-11-17 | 2027-12-31 | No data | 17000 RED HILL AVENUE, ATTENTION: LEGAL DEPARTMENT, IRVINE, CA, 92614 |
| G22000034067 | DENTISTS OF BOCA VILLAGE | ACTIVE | 2022-03-11 | 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 | 2024-04-30 |
| ANNUAL REPORT | 2023-04-17 |
| Domestic Profit | 2022-03-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
