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  5. SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A.

SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A. - Florida Company Profile

Company Details

Entity Name: SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

SKIN CANCER CENTER OF CENTRAL FLORIDA, 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: 13 Feb 2001 (24 years ago)
Document Number: P01000016179
FEI/EIN Number 593708058

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 10973 SE 175th Pl, Ste 100, STE 101, Summerfield, FL, 34491, US
Mail Address: 10973 SE 175th Pl, Ste 100, STE 101, Summerfield, FL, 34491, US
ZIP code: 34491
County: Marion
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336257450 2006-08-28 2024-11-05 10973 SE 175TH PL STE 100, SUMMERFIELD, FL, 344918983, US 10973 SE 175TH PL STE 100, SUMMERFIELD, FL, 34491, US

Contacts
Phone +1 352-259-6553
Fax 3528739397
Phone +1 352-873-7788

Authorized person
Name MARY F BARBER
Role PRESIDENT
Phone 3522596553

Taxonomy
Taxonomy Code 174400000X - Specialist
License Number ME0062067
State FL
Is Primary No
Taxonomy Code 207N00000X - Dermatology Physician
Is Primary No
Taxonomy Code 207ND0101X - MOHS-Micrographic Surgery Physician
Is Primary Yes
Taxonomy Code 207NS0135X - Procedural Dermatology Physician
Is Primary No

Other Provider Identifiers
Issuer MEDICAID
Number 372699100
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A. 401(K) PROFIT SHARING PLAN 2023 593708058 2024-04-01 SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-12-13
Business code 621111
Sponsor’s telephone number 3522596553
Plan sponsor’s address 10973 SE 175TH PL STE 100, SUMMERFIELD, FL, 344910905

Signature of
Role Plan administrator
Date 2024-04-01
Name of individual signing MARY BARBER,MD
Valid signature Filed with authorized/valid electronic signature
SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A. 401(K) PROFIT SHARING PLAN 2022 593708058 2023-07-31 SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-12-13
Business code 621111
Sponsor’s telephone number 3522596553
Plan sponsor’s address 10973 SE 175TH PL STE 100, SUMMERFIELD, FL, 344910905

Signature of
Role Plan administrator
Date 2023-07-31
Name of individual signing MARY BARBER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-31
Name of individual signing MARY BARBER
Valid signature Filed with authorized/valid electronic signature
SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A. 401(K) PROFIT SHARING PLAN 2021 593708058 2022-07-19 SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A. 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-12-13
Business code 621111
Sponsor’s telephone number 3522596553
Plan sponsor’s address 10973 SE 175TH PL STE 100, SUMMERFIELD, FL, 344910905

Signature of
Role Plan administrator
Date 2022-07-19
Name of individual signing MARY BARBER
Valid signature Filed with authorized/valid electronic signature
SKIN CANCER CENTER OF CENTRAL FLORIDA, P. A. 401(K) PROFIT SHARING PLAN 2020 593708058 2021-09-23 SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-12-13
Business code 621111
Sponsor’s telephone number 3522596553
Plan sponsor’s address 10973 SE 175TH PLACE, SUITE 100, SUMMERFIELD, FL, 34491

Signature of
Role Plan administrator
Date 2021-09-23
Name of individual signing MARY BARBER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-23
Name of individual signing MARY BARBER
Valid signature Filed with authorized/valid electronic signature
SKIN CANCER CENTER OF CENTRAL FLORIDA, P. A. 401(K) PROFIT SHARING PLAN 2019 593708058 2020-10-05 SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-12-13
Business code 621111
Sponsor’s telephone number 3528737788
Plan sponsor’s address 10973 SE 175TH PLACE, SUITE 100, SUMMERFIELD, FL, 34491

Signature of
Role Plan administrator
Date 2020-10-05
Name of individual signing MARY F. BARBER, M.D.
Valid signature Filed with authorized/valid electronic signature
SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A. 401(K) PROFIT SHARING PLAN 2018 593708058 2019-06-21 SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-12-13
Business code 621111
Sponsor’s telephone number 3528737788
Plan sponsor’s address 3210 SW 33RD ROAD, SUITE 101, OCALA, FL, 34476

Signature of
Role Plan administrator
Date 2019-06-21
Name of individual signing MARY F. BARBER, M.D.
Valid signature Filed with authorized/valid electronic signature
SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A. 401(K) PROFIT SHARING PLAN 2017 593708058 2018-04-22 SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-12-13
Business code 621111
Sponsor’s telephone number 3528737788
Plan sponsor’s address 3210 SW 33RD ROAD, SUITE 101, OCALA, FL, 34476

Signature of
Role Plan administrator
Date 2018-04-22
Name of individual signing MARY F. BARBER, M.D.
Valid signature Filed with authorized/valid electronic signature
SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A. 401(K) PROFIT SHARING PLAN 2016 593708058 2017-04-14 SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-12-13
Business code 621111
Sponsor’s telephone number 3528737788
Plan sponsor’s address 3210 SW 33RD ROAD, SUITE 101, OCALA, FL, 34476

Signature of
Role Plan administrator
Date 2017-04-14
Name of individual signing MARY F. BARBER, M.D.
Valid signature Filed with authorized/valid electronic signature
SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A. 401(K) PROFIT SHARING PLAN 2015 593708058 2016-04-10 SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-12-13
Business code 621111
Sponsor’s telephone number 3528737788
Plan sponsor’s address 3210 SW 33RD ROAD, SUITE 101, OCALA, FL, 34476

Signature of
Role Plan administrator
Date 2016-04-10
Name of individual signing MARY F. BARBER, M.D.
Valid signature Filed with authorized/valid electronic signature
SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A. 401(K) PROFIT SHARING PLAN 2014 593708058 2015-08-12 SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2001-12-13
Business code 621111
Sponsor’s telephone number 3528737788
Plan sponsor’s address 3210 SW 33RD ROAD, SUITE 101, OCALC, FL, 34476

Signature of
Role Plan administrator
Date 2015-08-12
Name of individual signing MARY F. BARBER, M.D.
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
Barber Mary FDr. Prac 10973 SE 175th Pl, Ste 100, Summerfield, FL, 34491
Thornhill, MD Rebecca S Auth 10973 Southeast 175th Place, Summerfield, FL, 34491
BARBER MARY F Agent 10973 SE 175th Pl, Ste 100, Summerfield, FL, 34491

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-03-28 10973 SE 175th Pl, Ste 100, STE 101, Summerfield, FL 34491 -
CHANGE OF MAILING ADDRESS 2019-03-28 10973 SE 175th Pl, Ste 100, STE 101, Summerfield, FL 34491 -
REGISTERED AGENT ADDRESS CHANGED 2019-03-28 10973 SE 175th Pl, Ste 100, Summerfield, FL 34491 -

Documents

Name Date
ANNUAL REPORT 2024-02-15
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-01-27
ANNUAL REPORT 2019-03-28
ANNUAL REPORT 2018-03-03
ANNUAL REPORT 2017-04-19
ANNUAL REPORT 2016-01-23
ANNUAL REPORT 2015-01-28

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Companies related by address

No other companies in our directory share the same address as SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A.

Date of last update: 03 Mar 2025

Sources: Florida Department of State

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