| Entity Name: | MY DERMATOLOGY & COSMETIC CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Jun 2021 (4 years ago) |
| Document Number: | L21000280491 |
| FEI/EIN Number | 87-1826421 |
| Address: | 111 2nd Ave NE., Suite 1406, St Petersburg, FL, 33701, US |
| Mail Address: | 7218 WILLIAMS DRIVE SOUTH, ST PETERSBURG, FL, 33705, US |
| ZIP code: | 33701 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427712439 | 2021-10-26 | 2021-10-26 | 818 CHESTNUT ST, CLEARWATER, FL, 337565642, US | 818 CHESTNUT ST, CLEARWATER, FL, 337565642, US | |||||||||||||||
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| Phone | +1 727-295-7223 |
| Fax | 7273251060 |
Authorized person
| Name | HART MEYRICH |
| Role | BUSINESS MANAGER |
| Phone | 4073409039 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MICHEL JACOB C | Agent | 7218 WILLIAMS DRIVE SOUTH, ST PETERSBURG, FL, 33705 |
| Name | Role | Address |
|---|---|---|
| MICHEL LEAH A | Manager | 7218 WILLIAMS DRIVE SOUTH, ST PETERSBURG, FL, 33705 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-03 | 111 2nd Ave NE., Suite 1406, St Petersburg, FL 33701 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-02-23 |
| Florida Limited Liability | 2021-06-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
