Entity Name: | SKIN CANCER TREATMENT CENTER, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 10 Apr 1985 (40 years ago) |
Document Number: | H51652 |
FEI/EIN Number | 59-2519537 |
Address: | 10001 PINES BLVD., PEMBROKE PINES, 33024, UN |
Mail Address: | 10001 PINES BLVD., PEMBROKE PINES, FL, 33024, US |
ZIP code: | 33024 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1861509234 | 2006-08-23 | 2020-09-22 | 10001 PINES BLVD, PEMBROKE PINES, FL, 330246136, US | 10001 PINES BLVD, PEMBROKE PINES, FL, 330246136, US | |||||||||||||||||||
|
Phone | +1 954-436-5625 |
Fax | 9546783989 |
Authorized person
Name | DR. KATHRYN ZEOLI |
Role | DERMATOLOGIST |
Phone | 9544365625 |
Taxonomy
Taxonomy Code | 174400000X - Specialist |
License Number | ME0036826 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
Ramirez Law, PA | Agent | 10001 PINES BLVD., PEMBROKE PINES, FL, 33024 |
Name | Role | Address |
---|---|---|
ZEOLI KATHRYN | President | 10001 PINES BLVD., PEMBROKE PINES, FL, 33024 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
NAME CHANGE AMENDMENT | 1987-05-13 | SKIN CANCER TREATMENT CENTER, INC. | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State