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LAKE BUTLER DENTAL GROUP, PA - Florida Company Profile

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Company Details

Entity Name: LAKE BUTLER DENTAL GROUP, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

LAKE BUTLER DENTAL GROUP, PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 02 Dec 2022 (3 years ago)
Document Number: P22000088883
FEI/EIN Number 92-1299085

Federal Employer Identification (FEI) Number assigned by the IRS.

Mail Address: 17000 RED HILL AVENUE, IRVINE, CA, 92614, US
Address: 4014 WINTER GARDEN VINELAND ROAD, SUITE B, WINTER GARDEN, FL, 34787, US
ZIP code: 34787
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Peters-Seppala, Lisa President 17000 RED HILL AVENUE, IRVINE, CA, 92614
Nam Sung M Secretary 17000 RED HILL AVENUE, IRVINE, CA, 92614
Pham Minh B Chief Financial Officer 17000 RED HILL AVENUE, IRVINE, CA, 92614
Peters-Seppala Lisa Director 17000 RED HILL AVENUE, IRVINE, CA, 92614
Pham Minh B Director 17000 RED HILL AVENUE, IRVINE, CA, 92614
Nam Sung Director 17000 RED HILL AVENUE, IRVINE, CA, 92614
COGENCY GLOBAL INC. Agent -

National Provider Identifier

NPI Number:
1124732698
Certification Date:
2023-01-06

Authorized Person:

Name:
MINH PHAM
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3214188920

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000153320 LAKE BUTLER DENTAL GROUP ACTIVE 2022-12-13 2027-12-31 - 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 -

Documents

Name Date
ANNUAL REPORT 2024-04-16
ANNUAL REPORT 2023-04-17
Domestic Profit 2022-12-02

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Date of last update: 01 Jun 2025

Sources: Florida Department of State