| Entity Name: | LEONID B. TROST, MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 02 Jun 2011 (14 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L11000064815 |
| FEI/EIN Number | 45-4566612 |
| Address: | 9400 GLADIOLUS DRIVE, SUITE 320, FT. MYERS, FL 33908 |
| Mail Address: | 21569 Halstead Dr, Boca Raton, FL 33428 |
| ZIP code: | 33908 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821343229 | 2012-07-23 | 2012-07-31 | 9400 GLADIOLUS DR, STE 320, FORT MYERS, FL, 339086699, US | 9400 GLADIOLUS DR, STE 320, FORT MYERS, FL, 339086699, US | |||||||||||||||||||||||||
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| Phone | +1 239-482-7546 |
| Fax | 2392438648 |
Authorized person
| Name | LEONID B TROST |
| Role | MD/OWNER |
| Phone | 2394827546 |
Taxonomy
| Taxonomy Code | 207ND0101X - MOHS-Micrographic Surgery Physician |
| License Number | ME100046 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE MEDICAL LICENSE |
| Number | ME100046 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Alla, Trost | Agent | 21569 Halstead Dr, Boca Raton, FL 33428 |
| Name | Role | Address |
|---|---|---|
| LEONID B. TROST FAMILY TRUST | Managing Member | 9400 GLADIOLUS DRIVE, SUITE 320, FT. MYERS, FL 33908 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000036107 | ACUTE DERMATOLOGY AND COSMETIC SURGERY | EXPIRED | 2014-04-11 | 2019-12-31 | No data | 9400 GLADIOLUS DRIVE, STE. 320, FT MYERS, FL, 33908 |
| G12000086509 | ACUTE DEMATOLOGY | EXPIRED | 2012-09-04 | 2017-12-31 | No data | 9400 GLADIOLUS DRIVE, STE 320, FT MYERS, FL, 33908 |
| G12000086510 | ACUTE DERMATOLOGY AND COSMETICS | EXPIRED | 2012-09-04 | 2017-12-31 | No data | 9400 GLADIOLUS DRIVE, STE 320, FORT MYERS, FL, 33908 |
| G11000059719 | ADVANCED DERMATOLOGY AND COSMETICS OF FLORIDA | EXPIRED | 2011-06-15 | 2016-12-31 | No data | 11900 EDGEWATER DR. #704, LAKEWOOD, OH, 44107 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2016-03-27 | 9400 GLADIOLUS DRIVE, SUITE 320, FT. MYERS, FL 33908 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-03-27 | Alla, Trost | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-27 | 21569 Halstead Dr, Boca Raton, FL 33428 | No data |
| LC AMENDMENT | 2012-09-04 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-09-04 | 9400 GLADIOLUS DRIVE, SUITE 320, FT. MYERS, FL 33908 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-03-27 |
| ANNUAL REPORT | 2015-01-11 |
| ANNUAL REPORT | 2014-03-30 |
| ANNUAL REPORT | 2013-03-31 |
| LC Amendment | 2012-09-04 |
| ANNUAL REPORT | 2012-02-10 |
| Florida Limited Liability | 2011-06-02 |
Date of last update: 23 Feb 2025
Sources: Florida Department of State
