| Entity Name: | MOBILE DERMATOLOGY HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 17 Nov 2023 (a year ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 04 Dec 2023 (a year ago) |
| Document Number: | L23000520320 |
| FEI/EIN Number | 93-4790788 |
| Address: | 9067 LOWER CARREL CIR, ORLANDO, FL 32827 |
| Mail Address: | 11954 NARCOOSEE RD 202, ORLANDO, FL 32832 |
| ZIP code: | 32827 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790550812 | 2023-11-20 | 2023-12-15 | 11954 NARCOOSSEE RD # 202, ORLANDO, FL, 328326998, US | 9067 LOWER CARREL CIR, ORLANDO, FL, 328273834, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 551-574-3296 |
Authorized person
| Name | JESSICA HOPE ANASTASIO |
| Role | OWNER |
| Phone | 5515743296 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ANASTASIO, JESSICA H | Agent | 9067 LOWER CARREL CIR, ORLANDO, FL 32827 |
| Name | Role | Address |
|---|---|---|
| ANASTASIO, JESSICA | Manager | 9067 LOWER CARREL CIR, ORLANDO, FL 32827 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2023-12-04 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment | 2023-12-04 |
| Florida Limited Liability | 2023-11-17 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
