| Entity Name: | MICHAEL L. SHELLING, MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Dec 2011 (13 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 10 Nov 2016 (8 years ago) |
| Document Number: | L11000136425 |
| FEI/EIN Number | 45-3972309 |
| Address: | BOYNTON MEDICAL ARTS CENTER, 10075 JOG RD, SUITE 206, BOYNTON BEACH, FL 33437 |
| Mail Address: | BOYNTON MEDICAL ARTS CENTER, 10075 JOG RD, SUITE 206, BOYNTON BEACH, FL 33437 |
| ZIP code: | 33437 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750646428 | 2012-07-09 | 2012-07-09 | 3045 WINDSOR PL, BOCA RATON, FL, 334345347, US | 10075 S JOG RD STE 206, BOYNTON BEACH, FL, 334373536, US | |||||||||||||||||||||||
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| Phone | +1 561-715-4666 |
| Fax | 5619988403 |
| Phone | +1 561-737-1100 |
| Fax | 5617314419 |
Authorized person
| Name | DR. MICHAEL LAWRENCE SHELLING |
| Role | OWNER & SOLE PROPRIETOR |
| Phone | 5617154666 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| License Number | ME111217 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHELLING, MICHAEL L, MD | Agent | 3045 WINDSOR PLACE, BOCA RATON, FL 33434 |
| Name | Role | Address |
|---|---|---|
| SHELLING, MICHAEL L | MANAGER | 3045 WINDSOR PLACE, BOCA RATON, FL 33434 |
| Name | Role | Address |
|---|---|---|
| SHELLING, MICHAEL L | M.D. | 3045 WINDSOR PLACE, BOCA RATON, FL 33434 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-02-26 | 3045 WINDSOR PLACE, BOCA RATON, FL 33434 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-03-25 | SHELLING, MICHAEL L, MD | No data |
| REINSTATEMENT | 2016-11-10 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2016-11-10 | BOYNTON MEDICAL ARTS CENTER, 10075 JOG RD, SUITE 206, BOYNTON BEACH, FL 33437 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REINSTATEMENT | 2013-10-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-10 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-01-14 |
| ANNUAL REPORT | 2020-02-26 |
| ANNUAL REPORT | 2019-05-07 |
| ANNUAL REPORT | 2018-03-25 |
| ANNUAL REPORT | 2017-01-19 |
| REINSTATEMENT | 2016-11-10 |
| ANNUAL REPORT | 2015-02-24 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
