| Entity Name: | ESTERO DERMATOLOGY & SKIN SURGERY CENTER,LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Jun 2005 (20 years ago) |
| Document Number: | L05000059590 |
| FEI/EIN Number | 205048784 |
| Address: | 10200 ARCOS AVENUE, SUITE 201, ESTERO, FL, 33928, US |
| Mail Address: | 10200 ARCOS AVENUE, SUITE 201, ESTERO, FL, 33928, US |
| ZIP code: | 33928 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568481901 | 2006-07-18 | 2023-04-03 | 10200 ARCOS AVE STE 201, ESTERO, FL, 339283529, US | 10200 ARCOS AVE STE 201, ESTERO, FL, 339283529, US | |||||||||||||||||||
|
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| Phone | +1 239-390-3376 |
| Fax | 2393330474 |
Authorized person
| Name | GREGORY M HOUCK |
| Role | DO |
| Phone | 2393903376 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| License Number | OS8594 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HOUCK GREGORY | Agent | 10200 ARCOS AVENUE, ESTERO, FL, 33928 |
| Name | Role | Address |
|---|---|---|
| HOUCK GREGORY | Manager | 10200 ARCOS AVENUE, ESTERO, FL, 33928 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-04-02 | HOUCK, GREGORY | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-31 | 10200 ARCOS AVENUE, SUITE 201, ESTERO, FL 33928 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-31 | 10200 ARCOS AVENUE, SUITE 201, ESTERO, FL 33928 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-31 | 10200 ARCOS AVENUE, SUITE 201, ESTERO, FL 33928 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-03 |
| ANNUAL REPORT | 2023-04-02 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-21 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-21 |
| ANNUAL REPORT | 2015-03-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
