| Entity Name: | SUNCOAST DERMPATH LABORATORY & CONSULTATION, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SUNCOAST DERMPATH LABORATORY & CONSULTATION, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 08 Sep 2009 (16 years ago) |
| Date of dissolution: | 27 Sep 2024 (7 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (7 months ago) |
| Document Number: | L09000087031 |
| FEI/EIN Number |
270939607
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4431 WALTHAM DRIVE, TAMPA, FL, 33634 |
| Mail Address: | 4431 WALTHAM DRIVE, TAMPA, FL, 33634 |
| ZIP code: | 33634 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013239219 | 2010-02-16 | 2011-09-02 | 4431 WALTHAM DR, TAMPA, FL, 336347345, US | 4431 WALTHAM DR, TAMPA, FL, 336347345, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 813-598-2893 |
| Fax | 8884278643 |
Authorized person
| Name | DR. SHURUN ZHAO |
| Role | PRESIDENT |
| Phone | 8135982893 |
Taxonomy
| Taxonomy Code | 207ND0900X - Dermatopathology Physician |
| License Number | ME99158 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207ZP0102X - Anatomic Pathology & Clinical Pathology Physician |
| License Number | ME99158 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 280544800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ZHAO SHURUN | Manager | 4431 WALTHAM DRIVE, TAMPA, FL, 33634 |
| ZHAO SHURUN SHURUN | Agent | 4431 WALTHAM DR., TAMPA, FL, 33634 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000003058 | SUNCOAST DERMATOPATHOLOGY LAB | EXPIRED | 2012-01-09 | 2017-12-31 | - | 4431 WALTHAM DR., TAMPA, FL, 33634 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2025-03-17 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | - | - |
| REGISTERED AGENT NAME CHANGED | 2019-05-08 | ZHAO, SHURUN, SHURUN ZHAO | - |
| REINSTATEMENT | 2019-05-08 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2012-01-04 | 4431 WALTHAM DR., TAMPA, FL 33634 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2010-12-15 | 4431 WALTHAM DRIVE, TAMPA, FL 33634 | - |
| LC NAME CHANGE | 2010-12-15 | SUNCOAST DERMPATH LABORATORY & CONSULTATION, LLC | - |
| CHANGE OF MAILING ADDRESS | 2010-12-15 | 4431 WALTHAM DRIVE, TAMPA, FL 33634 | - |
| LC AMENDMENT | 2009-11-19 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-02-24 |
| ANNUAL REPORT | 2022-02-09 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-01-15 |
| REINSTATEMENT | 2019-05-08 |
| ANNUAL REPORT | 2014-01-16 |
| ANNUAL REPORT | 2013-01-25 |
| ANNUAL REPORT | 2012-01-04 |
| ANNUAL REPORT | 2011-01-04 |
| LC Name Change | 2010-12-15 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
