| Entity Name: | SHAH DERMATOLOGY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 19 Oct 2011 (13 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L11000119244 |
| FEI/EIN Number | 45-3636575 |
| Address: | 8438 DIAMOND COVE CIRCLE, ORLANDO, FL 32836 |
| Mail Address: | 8438 DIAMOND COVE CIRCLE, ORLANDO, FL 32836 |
| ZIP code: | 32836 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669818845 | 2013-05-15 | 2013-05-15 | 201 HILDA ST, SUITE 38, KISSIMMEE, FL, 347412320, US | 201 HILDA ST, SUITE 38, KISSIMMEE, FL, 347412320, US | |||||||||||||||||||
|
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| Phone | +1 407-629-8865 |
| Fax | 4076298932 |
Authorized person
| Name | AYYAZ M SHAH |
| Role | PRESIDENT |
| Phone | 4076298865 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| License Number | OS10163 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHAH, AYYAZ M | Agent | 8438 DIAMOND COVE CIRCLE, ORLANDO, FL 32836 |
| Name | Role | Address |
|---|---|---|
| SHAH, AYYAZ M | Managing Member | 8438 DIAMOND COVE CIRCLE, ORLANDO, FL 32836 |
| Name | Role | Address |
|---|---|---|
| SHAH, HUMAIRA | Manager | 8438 DIAMOND COVE CIRCLE, ORLANDO, FL 32836 |
| Name | Role | Address |
|---|---|---|
| Shah, Angel | Administrator | 8438 Diamond Cove Circle, Orlando, FL 32836 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000008656 | GLAMOROUS SKIN INSTITUTE | EXPIRED | 2012-01-25 | 2017-12-31 | No data | 8434 DIAMOND COVE CIR, ORLANDO, FL, 32836 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REINSTATEMENT | 2015-04-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-04-25 | SHAH, AYYAZ M | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J15000272092 | TERMINATED | 1000000656210 | OSCEOLA | 2015-02-04 | 2035-02-18 | $ 330.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
| J15000272100 | TERMINATED | 1000000656211 | OSCEOLA | 2015-02-04 | 2035-02-18 | $ 439.91 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
| J14000076827 | TERMINATED | 1000000560092 | OSCEOLA | 2013-12-26 | 2034-01-15 | $ 2,295.46 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MAITLAND SERVICE CENTER, 2301 MAITLAND CENTER PKWY STE 160, MAITLAND FL327514192 |
| J13001585059 | TERMINATED | 1000000534068 | PALM BEACH | 2013-10-02 | 2033-10-29 | $ 330.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-04-30 |
| REINSTATEMENT | 2015-04-25 |
| ANNUAL REPORT | 2013-04-15 |
| ANNUAL REPORT | 2012-04-30 |
| Florida Limited Liability | 2011-10-19 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
