| Entity Name: | DERMATOLOGY OF GAINESVILLE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Feb 2018 (7 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 20 Dec 2018 (6 years ago) |
| Document Number: | L18000048178 |
| FEI/EIN Number | 82-4597536 |
| Address: | 13575 NW 1st Lane, NEWBERRY, FL, 32669, US |
| Mail Address: | 13575 NW 1st Lane, Suite 10, Newberry, FL, 32669, US |
| ZIP code: | 32669 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437633880 | 2018-09-21 | 2020-09-24 | 13575 NW 1ST LN STE 10, NEWBERRY, FL, 326693735, US | 13575 NW 1ST LN STE 10, NEWBERRY, FL, 326693735, US | |||||||||||||||||
|
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| Phone | +1 352-260-0170 |
| Fax | 3525593978 |
| Phone | +1 352-538-7821 |
Authorized person
| Name | MICHAEL B COTTER |
| Role | OWNER |
| Phone | 3523712011 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Mitchell Christina Dr. | Agent | 13575 NW 1st Lane, Newberry, FL, 32669 |
| Name | Role | Address |
|---|---|---|
| Mitchell Christina Dr. | President | 13575 NW 1st Lane, Newberry, FL, 32669 |
| Name | Role | Address |
|---|---|---|
| Phillips Kim | Prac | 13575 NW 1st Lane, NEWBERRY, FL, 32669 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000073859 | DERMATOLOGY SPECIALISTS | ACTIVE | 2023-06-19 | 2028-12-31 | No data | 410 NORTH MAIN STREET, SUITE 10, SUITE 10, CHIEFLAND, FL, 32626 |
| G18000126476 | DERMATOLOGY SPECIALISTS OF GAINESVILLE | EXPIRED | 2018-11-29 | 2023-12-31 | No data | 14616 NW 41ST AVE., NEWBERRY, FL, 32669 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-01-08 | 13575 NW 1st Lane, SUITE 10, NEWBERRY, FL 32669 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-08 | 13575 NW 1st Lane, Suite 10, Newberry, FL 32669 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-07-31 | 13575 NW 1st Lane, SUITE 10, NEWBERRY, FL 32669 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-01-17 | Mitchell, Christina, Dr. | No data |
| LC AMENDMENT | 2018-12-20 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-17 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-06 |
| ANNUAL REPORT | 2021-01-08 |
| AMENDED ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-01-02 |
| LC Amendment | 2018-12-20 |
| Florida Limited Liability | 2018-02-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
