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CENTRAL FLORIDA DERMATOLOGY INSTITUTE, PLLC - Florida Company Profile

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Company Details

Entity Name: CENTRAL FLORIDA DERMATOLOGY INSTITUTE, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 31 Jul 2018 (7 years ago)
Document Number: L18000183909
FEI/EIN Number 83-1417592
Address: 5450 Land O Lakes Blvd, Land O Lakes, FL, 34639, US
Mail Address: 15106 CONTOY PLACE, TAMPA, FL, 33618, US
ZIP code: 34639
City: Land O'Lakes
County: Pasco
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BRANT GEORGE Manager 15106 CONTOY PLACE, TAMPA, FL, 33618
Brant George Agent 5450 Land O Lakes Blvd, Land O Lakes, FL, 34639

Unique Entity ID

Unique Entity ID:
LSC3U6JPBLJ8
CAGE Code:
9KVM6
UEI Expiration Date:
2026-04-04

Business Information

Doing Business As:
CENTRAL FLORIDA DERMATOLOGY INSTITUTE PLLC
Activation Date:
2025-04-08
Initial Registration Date:
2023-04-06

Commercial and government entity program

CAGE number:
9KVM6
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-04-08
CAGE Expiration:
2030-04-08
SAM Expiration:
2026-04-04

Contact Information

POC:
GEORGE BRANT

National Provider Identifier

NPI Number:
1720544380
Certification Date:
2020-08-16

Authorized Person:

Name:
GEORGE ALAN BRANT
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
8135636353

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000024663 CENTRAL FLORIDA DERMATOLOGY INSTITUTE ACTIVE 2020-02-25 2025-12-31 - 5450 LAND O LAKES BLVD, LAND O LAKES, FL, 34629
G19000059674 FLORIDA DERMATOLOGY INSTITUTE EXPIRED 2019-05-20 2024-12-31 - 15106 CONTOY PL, TAMPA, FL, 33618

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-02-24 Brant, George -
REGISTERED AGENT ADDRESS CHANGED 2023-02-24 5450 Land O Lakes Blvd, Land O Lakes, FL 34639 -
CHANGE OF PRINCIPAL ADDRESS 2019-01-10 5450 Land O Lakes Blvd, Land O Lakes, FL 34639 -

Documents

Name Date
ANNUAL REPORT 2024-03-12
ANNUAL REPORT 2023-02-24
ANNUAL REPORT 2022-03-04
ANNUAL REPORT 2021-04-15
ANNUAL REPORT 2020-06-08
ANNUAL REPORT 2019-01-10
Florida Limited Liability 2018-07-31

USAspending Awards / Financial Assistance

Date:
2020-04-11
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
32091.00
Total Face Value Of Loan:
32091.00
Date:
2020-04-11
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
32091.00
Total Face Value Of Loan:
32091.00

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$32,091
Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$32,091
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$32,348.62
Servicing Lender:
Valley National Bank
Use of Proceeds:
Payroll: $32,091

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Date of last update: 03 Aug 2025

Sources: Florida Department of State