| Entity Name: | SIMPLIDERM, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 27 Apr 2016 (9 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L16000082621 |
| Address: | 3959 VAN DYKE ROAD, SUITE 103, LUTZ, FL, 33558, US |
| Mail Address: | 3959 VAN DYKE ROAD, SUITE 103, LUTZ, FL, 33558, US |
| ZIP code: | 33558 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295183739 | 2016-05-25 | 2016-05-25 | 3959 VAN DYKE RD, SUITE 103, LUTZ, FL, 335588025, US | 17907 SPARROWS NEST DRIVE, SUITE 103, LUTZ, FL, 335588025, US | |||||||||||||||||||
|
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| Phone | +1 813-390-9896 |
| Fax | 8132658595 |
Authorized person
| Name | MR. WILLIAM JOHN KRAS III |
| Role | NURSE PRACTITIONER |
| Phone | 8133909897 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | ARNP2721582 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KRAS KELLY A | Agent | 3959 VAN DYKE ROAD, LUTZ, FL, 33558 |
| Name | Role | Address |
|---|---|---|
| KRAS KELLY | Manager | 3959 VAN DYKE ROAD, LUTZ, FL, 33558 |
| KRAS WILLIAM | Manager | 3959 VAN DYKE ROAD, LUTZ, FL, 33558 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-05-11 | 3959 VAN DYKE ROAD, SUITE 103, LUTZ, FL 33558 | No data |
| CHANGE OF MAILING ADDRESS | 2016-05-11 | 3959 VAN DYKE ROAD, SUITE 103, LUTZ, FL 33558 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2016-04-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
