| Entity Name: | SANDERS DERMATOLOGY AND SKIN CANCER CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 11 Jan 2012 (13 years ago) |
| Date of dissolution: | 08 Jul 2020 (5 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 08 Jul 2020 (5 years ago) |
| Document Number: | L12000005306 |
| FEI/EIN Number | 38-3864283 |
| Address: | 2841 SAINT BARTS SQUARE, VERO BEACH, FL 32967 |
| Mail Address: | 2841 SAINT BARTS SQUARE, VERO BEACH, FL 32967 |
| ZIP code: | 32967 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871864264 | 2012-01-18 | 2012-01-18 | 1155 35TH LN, SUITE 202, VERO BEACH, FL, 329606521, US | 1155 35TH LN, SUITE 202, VERO BEACH, FL, 329606521, US | |||||||||||||||||||||||||||
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| Phone | +1 772-778-7782 |
| Fax | 7727787879 |
Authorized person
| Name | JONATHAN SCOTT SANDERS |
| Role | MANAGING MEMBER |
| Phone | 7727787782 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| License Number | 87851 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207NS0135X - Procedural Dermatology Physician |
| License Number | 87851 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Robison, Raymond G | Agent | 3473 SE Willoughby Blvd, Stuart, FL 34994 |
| Name | Role |
|---|---|
| JONATHAN SANDERS, M.D., P.A. | Managing Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000031121 | SEACOAST DERMATOLOGY | EXPIRED | 2012-03-30 | 2017-12-31 | No data | 2839 ST BARTS SQUARE, VERO BEACH, FL, 32967 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2020-07-08 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-01-22 | 2841 SAINT BARTS SQUARE, VERO BEACH, FL 32967 | No data |
| CHANGE OF MAILING ADDRESS | 2019-01-22 | 2841 SAINT BARTS SQUARE, VERO BEACH, FL 32967 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-01-22 | Robison, Raymond G | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-01-22 | 3473 SE Willoughby Blvd, Stuart, FL 34994 | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2020-07-08 |
| ANNUAL REPORT | 2019-01-22 |
| ANNUAL REPORT | 2018-01-08 |
| ANNUAL REPORT | 2017-02-02 |
| ANNUAL REPORT | 2016-01-21 |
| ANNUAL REPORT | 2015-01-12 |
| ANNUAL REPORT | 2014-02-26 |
| ANNUAL REPORT | 2013-02-21 |
| Florida Limited Liability | 2012-01-11 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
