NUPLO DERMATOLOGY, L.L.C. - Florida Company Profile

Key Officers & Management

Name	Role	Address
PATEL NUPUR	Manager	1245 COURT STREET, CLEARWATER, FL, 33756
METTERLE LAUREN	Manager	1245 COURT STREET, CLEARWATER, FL, 33756
GASSMAN ALAN SESQ.	Agent	1245 COURT STREET, CLEARWATER, FL, 33756

National Provider Identifier

Authorized Person:

Taxonomy:

Contacts:

Form 5500 Series

Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G22000060137	LUMA DERMATOLOGY	ACTIVE	2022-05-12	2027-12-31	-	718 LAKEVIEW RD., CLEARWATER, FL, 33756
G22000005506	DERMATOLOGY ESTHETICA	ACTIVE	2022-01-14	2027-12-31	-	718 LAKEVIEW RD, CLEARWATER, FL, 33756

Events

Event Type	Filed Date	Value	Description
CHANGE OF PRINCIPAL ADDRESS	2022-01-25	718 LAKEVIEW RD., CLEARWATER, FL 33756	-
CHANGE OF MAILING ADDRESS	2022-01-25	718 LAKEVIEW RD., CLEARWATER, FL 33756	-

Documents

Name	Date
ANNUAL REPORT	2024-01-12
ANNUAL REPORT	2023-01-12
ANNUAL REPORT	2022-01-25
Florida Limited Liability	2021-09-13