| Entity Name: | DENTISTS OF HIALEAH, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 19 Aug 2024 (5 months ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 30 Sep 2024 (4 months ago) |
| Document Number: | P24000053019 |
| Mail Address: | 17000 RED HILL AVENUE, IRVINE, CA 92614 |
| Address: | 3645 WEST 84TH STREET, UNIT 2, HIALEAH, FL 33018 |
| ZIP code: | 33018 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306679238 | 2024-08-26 | 2024-08-26 | PO BOX 920050, DALLAS, TX, 753920050, US | 3645 W 84TH ST STE 2, HIALEAH, FL, 330184985, US | |||||||||||||
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| Phone | +1 786-206-9017 |
Authorized person
| Name | MONICA G VIGON |
| Role | OWNER |
| Phone | 7148458500 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Address |
|---|---|---|
| GONZALEZ VIGNON, MONICA, D.M.D. | President | 17000 RED HILL AVE, IRVINE, CA 92614 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ VIGNON, MONICA, D.M.D. | Director | 17000 RED HILL AVE, IRVINE, CA 92614 |
| PHAM, MINH | Director | 17000 RED HILL AVE, IRVINE, CA 92614 |
| GONZALES, NATHANIEL, D.D.S. | Director | 17000 RED HILL AVE, IRVINE, CA 92614 |
| Name | Role | Address |
|---|---|---|
| PHAM, MINH | Secretary | 17000 RED HILL AVE, IRVINE, CA 92614 |
| Name | Role | Address |
|---|---|---|
| GONZALES, NATHANIEL, D.D.S. | Chief Financial Officer | 17000 RED HILL AVE, IRVINE, CA 92614 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000099728 | DENTISTS OF HIALEAH | ACTIVE | 2024-08-21 | 2029-12-31 | No data | 17000 RED HILL AVENUE, ATTENTION: LEGAL DEPARTMENT, IRVINE, CA, 92614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2024-09-30 | No data | No data |
| Name | Date |
|---|---|
| Amendment | 2024-09-30 |
| Domestic Profit | 2024-08-19 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
