| Entity Name: | BOCA GRANDE DERMATOLOGY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 06 Dec 2013 (11 years ago) |
| Date of dissolution: | 03 Feb 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 03 Feb 2021 (4 years ago) |
| Document Number: | L13000169406 |
| FEI/EIN Number | 80-0964615 |
| Address: | 1314 EAST VENICE AVENUE, SUITE D, VENICE, FL 34285 |
| Mail Address: | P.O. BOX 1883, BOCA GRANDE, FL 33921 |
| ZIP code: | 34285 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063836773 | 2014-02-17 | 2014-12-09 | PO BOX 1883, 415 ROCK DOVE DR, BOCA GRANDE, FL, 339211883, US | 320 PARK AVENUE, BOCA GRANDE, FL, 33921, US | |||||||||||||||||||
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| Phone | +1 941-855-9372 |
| Phone | +1 941-964-0490 |
Authorized person
| Name | DR. TIMOTHY J COREY |
| Role | MANAGER |
| Phone | 9418559372 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| License Number | ME116621 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HORLICK, MICHAEL D | Agent | 1314 EAST VENICE AVENUE, SUITE D, VENICE, FL 34285 |
| Name | Role | Address |
|---|---|---|
| COREY, TIMOTHY J, M.D. | Manager | P.O. BOX 1883, BOCA GRANDE, FL 33921 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-02-03 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-02-03 |
| ANNUAL REPORT | 2020-01-12 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-19 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-03-03 |
| ANNUAL REPORT | 2015-01-07 |
| ANNUAL REPORT | 2014-01-31 |
| Florida Limited Liability | 2013-12-06 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
