| Entity Name: | SOUTH FLORIDA DERMATOLOGY GROUP, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 10 Dec 1987 (37 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 01 Sep 2023 (a year ago) |
| Document Number: | K06339 |
| FEI/EIN Number | 65-0021407 |
| Address: | % VITOR WEINMAN, 401 Coral Way #207, CORAL GABLES, FL 33134 |
| Mail Address: | % VITOR WEINMAN, 401 Coral Way #207, CORAL GABLES, FL 33134 |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922281005 | 2007-12-11 | 2023-09-13 | 401 CORAL WAY, SUITE 207, CORAL GABLES, FL, 33134, US | 401 CORAL WAY, SUITE 207, CORAL GABLES, FL, 33134, US | |||||||||||||||||||||||||||
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| Phone | +1 305-445-2941 |
| Fax | 3054457231 |
Authorized person
| Name | MR. VITOR F WEINMAN |
| Role | OWNER |
| Phone | 3054452941 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003390401 |
| State | FL |
| Issuer | MEDICAID |
| Number | 003390400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WEINMAN, VITOR | Agent | 401 Coral Way, #207, CORAL GABLES, FL 33134 |
| Name | Role | Address |
|---|---|---|
| WEINMAN, VITOR MD, PA | President | 401 Coral Way #207, CORAL GABLES, FL 33134 |
| Name | Role | Address |
|---|---|---|
| WEINMAN, VITOR MD, PA | Secretary | 401 Coral Way #207, CORAL GABLES, FL 33134 |
| Name | Role | Address |
|---|---|---|
| WEINMAN, VITOR MD, PA | Director | 401 Coral Way #207, CORAL GABLES, FL 33134 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 2023-09-01 | SOUTH FLORIDA DERMATOLOGY GROUP, INC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-11 | % VITOR WEINMAN, 401 Coral Way #207, CORAL GABLES, FL 33134 | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-11 | % VITOR WEINMAN, 401 Coral Way #207, CORAL GABLES, FL 33134 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-11 | 401 Coral Way, #207, CORAL GABLES, FL 33134 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-05 |
| Name Change | 2023-09-01 |
| ANNUAL REPORT | 2023-04-20 |
| ANNUAL REPORT | 2022-04-08 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-06-03 |
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-04-11 |
| ANNUAL REPORT | 2016-04-14 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
