| Entity Name: | GULF COAST DERMATOLOGY & SKIN CARE CENTRE PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Mar 2009 (16 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 03 Jan 2012 (13 years ago) |
| Document Number: | L09000030098 |
| FEI/EIN Number | 264581980 |
| Mail Address: | 33120 BOARDWALK DRIVE, SPANISH FORT, AL, 36527, US |
| Address: | 4592 EAST HWY 20, NICEVILLE, FL, 32578, US |
| ZIP code: | 32578 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | GULF COAST DERMATOLOGY & SKIN CARE CENTRE PLLC, ALABAMA | 000-620-055 | ALABAMA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205174232 | 2013-01-25 | 2013-01-25 | 6701 AIRPORT BLVD, SUITE D232, MOBILE, AL, 366086705, US | 7720 US HIGHWAY 98 W, SUITE 340, MIRAMAR BEACH, FL, 325507230, US | |||||||||||||||
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| Phone | +1 251-631-3570 |
| Fax | 2516313572 |
Authorized person
| Name | DR. THOMAS W. BENDER III |
| Role | OWNER |
| Phone | 2516313570 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BENDER THOMAS W | Agent | 4592 East Hwy 20, Niceville, FL, 32578 |
| Name | Role | Address |
|---|---|---|
| BENDER THOMAS W | Managing Member | 33120 BOARDWALK, SPANISH FORT, AL, 36527 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-27 | 4592 East Hwy 20, Suite 3, Niceville, FL 32578 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-10 | 4592 EAST HWY 20, SUITE 3, NICEVILLE, FL 32578 | No data |
| REINSTATEMENT | 2012-01-03 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2012-01-03 | 4592 EAST HWY 20, SUITE 3, NICEVILLE, FL 32578 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-02-27 |
| ANNUAL REPORT | 2020-07-19 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-07-06 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-01-11 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
