| Entity Name: | GULF COAST DERMATOPATHOLOGY LABORATORY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 26 Jul 1984 (41 years ago) |
| Document Number: | H14132 |
| FEI/EIN Number | 592434790 |
| Address: | 6001 MEMORIAL HWY., TAMPA, FL, 33615-1569, US |
| Mail Address: | 6001 MEMORIAL HWY., TAMPA, FL, 33615-1569, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982693818 | 2005-10-13 | 2010-12-17 | 6001 MEMORIAL HWY, TAMPA, FL, 336154531, US | 6001 MEMORIAL HWY, TAMPA, FL, 336154531, US | |||||||||||||||||||
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| Phone | +1 813-882-4206 |
| Fax | 8138860589 |
Authorized person
| Name | JOHN LOUIS MILLNS JR. |
| Role | DIRECTOR |
| Phone | 8138824206 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| License Number | 800001270 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| MELNIK LEGAL PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| MILLNS, JOHN L | President | 7716 STILL PAKR CR, ODESSA, FL, 33556 |
| Name | Role | Address |
|---|---|---|
| MILLNS, JOHN L | Director | 7716 STILL PAKR CR, ODESSA, FL, 33556 |
| Name | Role | Address |
|---|---|---|
| MILLER SHARON | Chief Operating Officer | 6001 MEMORIAL HWY., TAMPA, FL, 336151569 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
