| Entity Name: | SCA DERMATOLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 15 Mar 2012 (13 years ago) |
| Date of dissolution: | 10 Jun 2019 (6 years ago) |
| Last Event: | MERGER |
| Event Date Filed: | 10 Jun 2019 (6 years ago) |
| Document Number: | L12000036715 |
| FEI/EIN Number | 45-4797402 |
| Mail Address: | 1111 PARK CENTRE BOULEVARD, SUITE 300, MIAMI GARDENS, FL 33169 |
| Address: | 1111 Park Centre Blvd, SUITE 300, Miami Gardens, FL 33169 |
| ZIP code: | 33169 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518232065 | 2012-03-16 | 2017-03-14 | 1111 PARK CENTRE BLVD, S. 300, MIAMI GARDENS, FL, 331695365, US | 915 W MONROE ST, S. 101, JACKSONVILLE, FL, 322041177, US | |||||||||||||||
|
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| Phone | +1 305-623-5595 |
| Phone | +1 904-903-4345 |
Authorized person
| Name | RICHARD S, GREENE |
| Role | MD / PRESIDENT |
| Phone | 9544736750 |
Taxonomy
| Taxonomy Code | 207ND0101X - MOHS-Micrographic Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WAGENER, DAVID | Agent | 1111 PARK CENTRE BOULEVARD, SUITE 300, MIAMI GARDENS, FL 33169 |
| Name | Role | Address |
|---|---|---|
| Greene, Richard MD | Manager | 1111 Park Centre Blvd, SUITE 300 Miami Gardens, FL 33169 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2019-06-10 | No data | CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS LLP000001291. MERGER NUMBER 300000193863 |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-29 | 1111 Park Centre Blvd, SUITE 300, Miami Gardens, FL 33169 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-04-13 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-04-21 |
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-04-29 |
| Florida Limited Liability | 2012-03-15 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
