| Entity Name: | FLORIDA SPECIALTY DERMATOLOGY CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
FLORIDA SPECIALTY DERMATOLOGY CARE, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 23 Jul 2012 (13 years ago) |
| Date of dissolution: | 05 Sep 2014 (11 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 05 Sep 2014 (11 years ago) |
| Document Number: | L12000095135 |
| FEI/EIN Number |
80-0837394
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 16057 Tampa Palms Blvd W, TAMPA, FL, 33647, US |
| Mail Address: | 16057 Tampa Palms Blvd W., TAMPA, FL, 33647, US |
| ZIP code: | 33647 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881940898 | 2012-07-27 | 2012-07-27 | 400 N TAMPA ST, SUITE: 1100, TAMPA, FL, 336024719, US | 400 N TAMPA ST, SUITE: 1100, TAMPA, FL, 336024719, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 813-275-9100 |
| Fax | 8132759201 |
Authorized person
| Name | DEBRA M SHELBY |
| Role | CHIEF NURSING OFFICER |
| Phone | 8132759100 |
Taxonomy
| Taxonomy Code | 207ND0900X - Dermatopathology Physician |
| Is Primary | Yes |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 S. PINE ISLAND ROAD, PLANTATION, FL, 33388 |
| AMERICAN SPECIALTY DERMATOLOGY CARE, LLC | Manager | 16057 Tampa Palms Blvd W, TAMPA, FL, 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2014-09-05 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-11 | 16057 Tampa Palms Blvd W, #223, TAMPA, FL 33647 | - |
| CHANGE OF MAILING ADDRESS | 2014-04-11 | 16057 Tampa Palms Blvd W, #223, TAMPA, FL 33647 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2013-03-13 | 1200 S. PINE ISLAND ROAD, PLANTATION, FL 33388 | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2014-09-05 |
| ANNUAL REPORT | 2014-04-11 |
| ANNUAL REPORT | 2013-03-13 |
| Florida Limited Liability | 2012-07-23 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
