| Entity Name: | DERMATOLOGY INSTITUTE OF SOUTHWEST FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 26 Jan 2001 (24 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P01000010412 |
| FEI/EIN Number | 651068530 |
| Address: | 1415 East Venice Avenue, VENICE, FL, 34292, US |
| Mail Address: | 1415 East Venice Avenue, VENICE, FL, 34292, US |
| ZIP code: | 34292 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073578449 | 2006-04-19 | 2012-07-30 | 1415 E VENICE AVE, VENICE, FL, 342923064, US | 1415 E VENICE AVE, VENICE, FL, 342923064, US | |||||||||||||||
|
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| Phone | +1 941-488-5300 |
| Fax | 9414121003 |
Authorized person
| Name | DR. ADAM S. GREENBERG |
| Role | OWNER |
| Phone | 9414885300 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GREENBERG IDIL | Agent | 1415 East Venice Avenue, VENICE, FL, 34292 |
| Name | Role | Address |
|---|---|---|
| GREENBERG ADAM S | Director | 1415 EAST VENICE AVENUE, VENICE, FL, 34292 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000043023 | DERMATOLOGY & LASER INSTITUTE OF SOUTHWEST FLORIDA | EXPIRED | 2012-05-07 | 2017-12-31 | No data | 200 CAPRI ISLES BLVD., SUITE 7D, VENICE, FL, 34292 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-03-18 | GREENBERG, IDIL | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-03-18 | 1415 East Venice Avenue, VENICE, FL 34292 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-01-22 | 1415 East Venice Avenue, VENICE, FL 34292 | No data |
| CHANGE OF MAILING ADDRESS | 2013-01-22 | 1415 East Venice Avenue, VENICE, FL 34292 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-08 |
| ANNUAL REPORT | 2015-03-18 |
| ANNUAL REPORT | 2014-04-04 |
| ANNUAL REPORT | 2013-01-22 |
| ANNUAL REPORT | 2012-02-13 |
| ANNUAL REPORT | 2011-03-18 |
| ANNUAL REPORT | 2010-04-07 |
| ANNUAL REPORT | 2009-06-23 |
| ANNUAL REPORT | 2008-05-01 |
| ANNUAL REPORT | 2007-01-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
