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DENTISTS AT LAKEWOOD RANCH, PA - Florida Company Profile

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Company Details

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
City: Sarasota
County: Sarasota
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Crawford Amelia President 17000 RED HILL AVENUE, IRVINE, CA, 92614
Gonzalez Vigon Monica Secretary 17000 RED HILL AVENUE, IRVINE, CA, 92614
Pham Minh B Treasurer 17000 RED HILL AVENUE, IRVINE, CA, 92614
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
- Agent -

National Provider Identifier

NPI Number:
1174225213
Certification Date:
2023-03-21

Authorized Person:

Name:
AMELIA CRAWFORD
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Fax:
9412563226

Fictitious Names

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 - 17000 RED HILL AVENUE, ATTENTION: LEGAL DEPT, RAELEA APOLITO, 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
Domestic Profit 2023-03-07

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Date of last update: 03 Aug 2025

Sources: Florida Department of State