| Entity Name: | INDIGO DERMATOLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 31 Aug 2015 (9 years ago) |
| Document Number: | L15000148977 |
| FEI/EIN Number | 47-5068597 |
| Address: | 675 S. BABCOCK STREET, MELBOURNE, FL 32901 |
| Mail Address: | 675 S. BABCOCK STREET, MELBOURNE, FL 32901 |
| ZIP code: | 32901 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659743094 | 2015-10-26 | 2019-07-04 | 675 S BABCOCK ST, MELBOURNE, FL, 329011459, US | 675 S BABCOCK ST, MELBOURNE, FL, 329011459, US | |||||||||||||||||||
|
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| Phone | +1 321-951-1010 |
| Fax | 3219524038 |
Authorized person
| Name | SUMEET THAREJA |
| Role | OWNER |
| Phone | 3219511010 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME123157 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Cody, Janet E | Agent | 675 S. BABCOCK STREET, MELBOURNE, FL 32901 |
| Name | Role | Address |
|---|---|---|
| THAREJA, M.D., SUMEET | Manager | 123 LANSING ISLAND DRIVE, INDIAN HARBOUR BEACH, FL 32937 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-01-13 | Cody, Janet E | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-13 | 675 S. BABCOCK STREET, MELBOURNE, FL 32901 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-08-23 | 675 S. BABCOCK STREET, MELBOURNE, FL 32901 | No data |
| CHANGE OF MAILING ADDRESS | 2016-08-23 | 675 S. BABCOCK STREET, MELBOURNE, FL 32901 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-14 |
| ANNUAL REPORT | 2024-01-08 |
| ANNUAL REPORT | 2023-01-09 |
| ANNUAL REPORT | 2022-01-19 |
| ANNUAL REPORT | 2021-01-07 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-01-03 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-01-05 |
| ANNUAL REPORT | 2016-01-19 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
