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COAST DERMATOLOGY AND SKIN CANCER CENTER, P.A. - Florida Company Profile

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Company Details

Entity Name: COAST DERMATOLOGY AND SKIN CANCER CENTER, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 25 Apr 2002 (23 years ago)
Date of dissolution: 24 Sep 2021 (4 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2021 (4 years ago)
Document Number: P02000045414
FEI/EIN Number 043651801
Address: 21550 ANGELA LANE, VENICE, FL, 34293
Mail Address: 21550 ANGELA LANE, VENICE, FL, 34293
ZIP code: 34293
City: Venice
County: Sarasota
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
NEILY JOHN G Director 7348 PALOMINO TRAIL, SARASOTA, FL, 34241
Neily John G Agent 21550 Angela Lane, Venice, FL, 34293

National Provider Identifier

NPI Number:
1770608937

Authorized Person:

Name:
JOHN GREGORY NEILY
Role:
PHYSCIAN
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
9414931940

Form 5500 Series

Employer Identification Number (EIN):
043651801
Plan Year:
2020
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
26
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
25
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
27
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 - -
REGISTERED AGENT ADDRESS CHANGED 2016-04-29 21550 Angela Lane, Venice, FL 34293 -
REGISTERED AGENT NAME CHANGED 2016-04-29 Neily, John Gregory -
REINSTATEMENT 2010-10-22 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 - -
CHANGE OF PRINCIPAL ADDRESS 2008-07-10 21550 ANGELA LANE, VENICE, FL 34293 -
CHANGE OF MAILING ADDRESS 2008-07-10 21550 ANGELA LANE, VENICE, FL 34293 -
CANCEL ADM DISS/REV 2006-01-06 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2003-09-19 - -

Documents

Name Date
ANNUAL REPORT 2020-07-25
ANNUAL REPORT 2019-03-11
ANNUAL REPORT 2018-03-13
ANNUAL REPORT 2017-01-25
ANNUAL REPORT 2016-04-29
ANNUAL REPORT 2015-05-01
ANNUAL REPORT 2014-05-01
ANNUAL REPORT 2013-05-01
ANNUAL REPORT 2012-06-28
ANNUAL REPORT 2011-06-16

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Date of last update: 02 Aug 2025

Sources: Florida Department of State