| Entity Name: | FORT MYERS DERMATOPATHOLOGY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 May 2002 (23 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 10 Jan 2024 (a year ago) |
| Document Number: | P02000056201 |
| FEI/EIN Number | 331004974 |
| Address: | 12580 UNIVERSITY DR, UNIT 2, FORT MYERS, FL, 33907, US |
| Mail Address: | 12580 UNIVERSITY DR, UNIT 2, FORT MYERS, FL, 33907, US |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| Name | Role |
|---|---|
| GSK REGISTERED AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| DAOUD MAZEN M | Director | 12580 UNIVERSITY DR, FORT MYERS, FL, 33907 |
| Name | Role | Address |
|---|---|---|
| DAOUD MAZEN M | President | 12580 UNIVERSITY DR, FORT MYERS, FL, 33907 |
| Name | Role | Address |
|---|---|---|
| DIB GHALIEH | Secretary | 12580 UNIVERSITY DR, FORT MYERS, FL, 33907 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000097560 | ADVANCED DERMATOLOGY SPECIALTIES | ACTIVE | 2014-09-24 | 2029-12-31 | No data | 12580 UNIVERSITY DRIVE, STE 200, FORT MYERS, FL, 33907 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-01-10 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-02-12 | GSK REGISTERED AGENTS, INC. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-25 | 12580 UNIVERSITY DR, UNIT 2, FORT MYERS, FL 33907 | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-25 | 12580 UNIVERSITY DR, UNIT 2, FORT MYERS, FL 33907 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-02-26 | 1380 ROYAL PALM SQUARE BLVD., FORT MYERS, FL 33919 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-01-10 |
| AMENDED ANNUAL REPORT | 2022-11-28 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-02-10 |
| ANNUAL REPORT | 2020-02-12 |
| ANNUAL REPORT | 2019-03-15 |
| ANNUAL REPORT | 2018-03-29 |
| ANNUAL REPORT | 2017-04-19 |
| ANNUAL REPORT | 2016-03-03 |
| ANNUAL REPORT | 2015-04-14 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2580697203 | 2020-04-16 | 0455 | PPP | 12580 University Ave Ste 200, FORT MYERS, FL, 33907 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State
