| Entity Name: | MOSKOWITZ DERMATOLOGY, M.D., P.L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MOSKOWITZ DERMATOLOGY, M.D., P.L.L.C. 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 29 Jan 2016 (9 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 24 Feb 2017 (8 years ago) |
| Document Number: | L16000018395 |
| FEI/EIN Number |
81-1011375
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 143 Mission Road, OVIEDO, FL, 32765, US |
| Mail Address: | 143 Mission Road, OVIEDO, FL, 32765, US |
| ZIP code: | 32765 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609234608 | 2016-02-04 | 2016-02-04 | 1000 W BROADWAY ST, SUITE 206, OVIEDO, FL, 327659260, US | 1000 W BROADWAY ST, SUITE 206, OVIEDO, FL, 327659260, US | |||||||||||||||||||||||||
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| Phone | +1 407-542-0100 |
| Fax | 4079927701 |
Authorized person
| Name | DR. JEFFREY G MOSKOWITZ |
| Role | PRESIDENT |
| Phone | 4075420100 |
Taxonomy
| Taxonomy Code | 207NS0135X - Procedural Dermatology Physician |
| License Number | ME79584 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 258625800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Moskowitz Jeffrey G | Manager | 143 Mission Road, Oviedo, FL, 32765 |
| Moskowitz Jeffrey G | Director | 143 Mission Road, Oviedo, FL, 32765 |
| Baumann Anita | President | 143 Mission Road, Oviedo, FL, 32765 |
| Baumann Anita | Manager | 143 Mission Road, Oviedo, FL, 32765 |
| MOSKOWITZ JEFFREY G | Agent | 143 Mission Road, Oviedo, FL, 32765 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000035547 | OVIEDO DERMPATH | ACTIVE | 2017-04-04 | 2027-12-31 | - | 143 MISSION ROAD, OVIEDO, FL, 32765 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-28 | 143 Mission Road, Oviedo, FL 32765 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-20 | 143 Mission Road, OVIEDO, FL 32765 | - |
| CHANGE OF MAILING ADDRESS | 2022-05-20 | 143 Mission Road, OVIEDO, FL 32765 | - |
| LC AMENDMENT AND NAME CHANGE | 2017-02-24 | MOSKOWITZ DERMATOLOGY, M.D., P.L.L.C. | - |
| LC AMENDMENT AND NAME CHANGE | 2016-08-02 | OVIEDO DERMPATH, P.L.L.C. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-02-14 |
| ANNUAL REPORT | 2018-02-06 |
| ANNUAL REPORT | 2017-04-18 |
| LC Amendment and Name Change | 2017-02-24 |
| LC Amendment and Name Change | 2016-08-02 |
Date of last update: 02 May 2025
Sources: Florida Department of State
