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ORLANDO DERMATOLOGY CLINIC, LLC - Florida Company Profile

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Company Details

Entity Name: ORLANDO DERMATOLOGY CLINIC, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 28 Dec 2018 (7 years ago)
Document Number: L18000292384
FEI/EIN Number 83-2905038
Address: 1040 Lake Sumter Landing, The Villages, FL, 32162, US
Mail Address: 1040 Lake Sumter Landing, The Villages, FL, 32162, US
ZIP code: 32162
City: The Villages
County: Sumter
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SHAATH TAREK S President 1040 Lake Sumter Landing, The Villages, FL, 32162
SHAATH TAREK S Agent 1040 Lake Sumter Landing, The Villages, FL, 32162

National Provider Identifier

NPI Number:
1669251112
Certification Date:
2024-02-01

Authorized Person:

Name:
TAREK S SHAATH
Role:
MD
Phone:

Taxonomy:

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

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
832905038
Plan Year:
2024
Number Of Participants:
23
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
0
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000044672 CARE DERMATOLOGY AND SKIN CANCER CENTERS ACTIVE 2020-04-23 2025-12-31 - 1040 LAKE SUMTER LANDING, THE VILLAGES, FL, 32162

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-03-15 SHAATH, TAREK S -
CHANGE OF PRINCIPAL ADDRESS 2020-04-23 1040 Lake Sumter Landing, The Villages, FL 32162 -
CHANGE OF MAILING ADDRESS 2020-04-23 1040 Lake Sumter Landing, The Villages, FL 32162 -
REGISTERED AGENT ADDRESS CHANGED 2020-04-23 1040 Lake Sumter Landing, The Villages, FL 32162 -

Documents

Name Date
ANNUAL REPORT 2025-01-13
ANNUAL REPORT 2024-02-02
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-03-07
ANNUAL REPORT 2021-03-15
ANNUAL REPORT 2020-04-23
Florida Limited Liability 2018-12-28

USAspending Awards / Financial Assistance

Date:
2020-04-21
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
1000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-21
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
1000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Trademarks

Serial Number:
90027609
Mark:
CARE DERMATOLOGY AND SKIN CANCER CENTERS
Status:
Abandoned because the applicant failed to respond or filed a late response to an Office action. To view all documents in this file, click on the Trademark Document Retrieval link at the top of this page.
Mark Type:
Service Mark
Application Filing Date:
2020-06-30
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
CARE DERMATOLOGY AND SKIN CANCER CENTERS

Goods And Services

For:
Dermatology services
International Classes:
044 - Primary Class
Class Status:
ACTIVE

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Date of last update: 02 Aug 2025

Sources: Florida Department of State