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CENTER FOR AESTHETIC PLASTIC SURGERY, P.A. - Florida Company Profile

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Company Details

Entity Name: CENTER FOR AESTHETIC PLASTIC SURGERY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 28 Feb 2000 (25 years ago)
Document Number: P00000023343
FEI/EIN Number 593641617
Address: 17222 HOSPITAL BLVD., SUITE 346, BROOKSVILLE, FL, 34601
Mail Address: 17222 HOSPITAL BLVD., SUITE 346, BROOKSVILLE, FL, 34601
ZIP code: 34601
City: Brooksville
County: Hernando
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Patel Utpal MD President 17222 HOSPITAL BLVD., STE. 346, BROOKSVILLE, FL, 34601
Patel Robin M Vice President 17222 HOSPITAL BLVD., STE. 346, BROOKSVILLE, FL, 34601
PATEL UTPAL MD Treasurer 17222 HOSPITAL BLVD., STE. 346, BROOKSVILLE, FL, 34601
PATEL UTPAL MD Secretary 17222 HOSPITAL BLVD., STE. 346, BROOKSVILLE, FL, 34601
Wilhelm James M Agent 7211 Haiwatha Parkway, Spring Hill, FL, 34606

National Provider Identifier

NPI Number:
1679525653
Certification Date:
2021-03-04

Authorized Person:

Name:
UTPALKUMAR PATEL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208200000X - Plastic Surgery Physician
Is Primary:
No
Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
3527963323

Form 5500 Series

Employer Identification Number (EIN):
593641617
Plan Year:
2024
Number Of Participants:
47
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
47
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
45
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
43
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
36
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000002444 LOTUS DERMATOLOGY ACTIVE 2017-01-06 2027-12-31 - 17222 HOSPITAL BLVD, SUITE 346, BROOKSVILLE, FL, 34601

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2017-01-06 Wilhelm, James M -
REGISTERED AGENT ADDRESS CHANGED 2017-01-06 7211 Haiwatha Parkway, Spring Hill, FL 34606 -
CHANGE OF PRINCIPAL ADDRESS 2008-02-18 17222 HOSPITAL BLVD., SUITE 346, BROOKSVILLE, FL 34601 -
CHANGE OF MAILING ADDRESS 2008-02-18 17222 HOSPITAL BLVD., SUITE 346, BROOKSVILLE, FL 34601 -

Documents

Name Date
ANNUAL REPORT 2025-01-26
ANNUAL REPORT 2024-01-21
ANNUAL REPORT 2023-01-03
ANNUAL REPORT 2022-01-15
ANNUAL REPORT 2021-01-17
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-01-20
ANNUAL REPORT 2018-02-19
ANNUAL REPORT 2017-01-06
ANNUAL REPORT 2016-03-10

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Date of last update: 02 Aug 2025

Sources: Florida Department of State