| Entity Name: | DENTISTS AT LAKEWOOD RANCH, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 07 Mar 2023 (2 years ago) |
| Document Number: | P23000017558 |
| FEI/EIN Number | 92-2904258 |
| Mail Address: | 17000 RED HILL AVENUE, IRVINE, CA, 92614, US |
| Address: | 6588 University Parkway, Suite 104, SARASOTA, FL, 34240, US |
| ZIP code: | 34240 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174225213 | 2023-03-21 | 2023-03-21 | PO BOX 920050, DALLAS, TX, 753920050, US | 6588 UNIVERSITY PKWY STE 102, LAKEWOOD RANCH, FL, 342409049, US | |||||||||||||||||
|
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| Phone | +1 714-845-8890 |
| Phone | +1 941-256-3714 |
| Fax | 9412563226 |
Authorized person
| Name | AMELIA CRAWFORD |
| Role | OWNER |
| Phone | 9412563714 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Crawford Amelia | President | 17000 RED HILL AVENUE, IRVINE, CA, 92614 |
| Name | Role | Address |
|---|---|---|
| Gonzalez Vigon Monica | Secretary | 17000 RED HILL AVENUE, IRVINE, CA, 92614 |
| Name | Role | Address |
|---|---|---|
| Pham Minh B | Treasurer | 17000 RED HILL AVENUE, IRVINE, CA, 92614 |
| Name | Role | Address |
|---|---|---|
| Pham Minh B | Director | 17000 RED HILL AVENUE, IRVINE, CA, 92614 |
| Crawford Amelia | Director | 17000 RED HILL AVENUE, IRVINE, CA, 92614 |
| Gonzalez Vigon Monica | Director | 17000 RED HILL AVENUE, IRVINE, CA, 92614 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000098153 | DENTISTS AT LAKEWOOD RANCH | ACTIVE | 2023-08-22 | 2028-12-31 | No data | 17000 RED HILL AVENUE, ATTENTION: LEGAL DEPT, RAELEA APOLITO, 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 |
| Domestic Profit | 2023-03-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
