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LISA D. ZACK, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: LISA D. ZACK, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

LISA D. ZACK, M.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 06 Dec 1989 (36 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 11 Mar 2010 (15 years ago)
Document Number: L35115
FEI/EIN Number 650156881

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: LISA D. ZACK MD PA, 801 ANCHOR RODE DR #100, NAPLES, FL, 34103, US
Mail Address: LISA D. ZACK MD PA, 801 ANCHOR RODE DR #100, NAPLES, FL, 34103, US
ZIP code: 34103
City: Naples
County: Collier
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ZACK LISA DDr. Director 801 ANCHOR RODE DR #100, NAPLES, FL, 34103
Kovach Bradley TDr. Vice President 801 Anchor Rode Drive, NAPLES, FL, 34103
ZACK LISA DDr. Agent 801 ANCHOR RODE DR #100, NAPLES, FL, 34103

National Provider Identifier

NPI Number:
1518189927

Authorized Person:

Name:
MS. TRACY ANN SMITH
Role:
BILLING
Phone:

Taxonomy:

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

Contacts:

Fax:
2394039410

Form 5500 Series

Employer Identification Number (EIN):
650156881
Plan Year:
2023
Number Of Participants:
31
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
24
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
22
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G99299900176 FLORIDA COASTAL DERMATOLOGY ASSOCIATES ACTIVE 1999-10-27 2029-12-31 - 801 ANCHOR RODE DRIVE, SUITE 100, NAPLES, FL, 34103

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2017-01-09 ZACK, LISA D, Dr. -
REINSTATEMENT 2010-03-11 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 - -
CHANGE OF PRINCIPAL ADDRESS 2006-02-15 LISA D. ZACK MD PA, 801 ANCHOR RODE DR #100, NAPLES, FL 34103 -
CHANGE OF MAILING ADDRESS 2006-02-15 LISA D. ZACK MD PA, 801 ANCHOR RODE DR #100, NAPLES, FL 34103 -
REGISTERED AGENT ADDRESS CHANGED 2006-02-15 801 ANCHOR RODE DR #100, NAPLES, FL 34103 -

Documents

Name Date
ANNUAL REPORT 2024-01-31
ANNUAL REPORT 2023-02-02
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-01-19
ANNUAL REPORT 2020-01-23
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-19
ANNUAL REPORT 2015-01-21

Paycheck Protection Program

Jobs Reported:
22
Initial Approval Amount:
$250,306
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$250,306
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$253,968.01
Servicing Lender:
Wells Fargo Bank, National Association
Use of Proceeds:
Payroll: $250,306

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Date of last update: 02 Jul 2025

Sources: Florida Department of State