FORT MYERS MODERN DENTISTRY, PA - Florida Company Profile
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| Entity Name: | FORT MYERS MODERN DENTISTRY, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 07 May 2024 (a year ago) |
| Document Number: | P24000031610 |
| FEI/EIN Number | 99-2973472 |
| Address: | 3330 FORUM BLVD., FORT MYERS, FL, 33905 |
| Mail Address: | ATTN: LEGAL DEPARTMENT, 17000 RED HILL AVENUE, IRVINE, CA, 92614 |
| ZIP code: | 33905 |
| City: | Fort Myers |
| County: | Lee |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| Archer Kelsey | President | 17000 Red Hill Ave., Irvine, CA, 92614 |
| Pham Minh | Secretary | 17000 Red Hill Ave., Irvine, CA, 92614 |
| Gonzales Vigon Monica | Treasurer | 17000 Red Hill Ave., Irvine, CA, 92614 |
| Ghazal Carolyn | Director | 17000 Red Hill Ave., Irvine, CA, 92614 |
| Hussain Faryal | Director | 17000 Red Hill Ave., Irvine, CA, 92614 |
| - | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000061598 | FORT MYERS MODERN DENTISTRY | ACTIVE | 2024-05-10 | 2029-12-31 | - | 17000 RED HILL AVENUE, ATTENTION: LEGAL DEPARTMENT, IRVINE, CA, 92614 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-05-07 |
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Date of last update: 01 Aug 2025
Sources: Florida Department of State