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SKIN CANCER TREATMENT CENTER, INC.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
Ramirez Law, PA Agent 10001 PINES BLVD., PEMBROKE PINES, FL, 33024

President

Name Role Address
ZEOLI KATHRYN President 10001 PINES BLVD., PEMBROKE PINES, FL, 33024

Events

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