| Entity Name: | DERMATOLOGY ADVANCED CARE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Feb 2003 (22 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 18 Oct 2007 (17 years ago) |
| Document Number: | P03000016036 |
| FEI/EIN Number | 820586899 |
| Address: | 2433 MAHAN DRIVE, TALLAHASSEE, FL, 32308 |
| Mail Address: | P O BOX 15155, TALLAHASSEE, FL, 32317 |
| ZIP code: | 32308 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376714162 | 2008-03-19 | 2008-03-19 | 2433 MAHAN DR, TALLAHASSEE, FL, 323085329, US | 2433 MAHAN DR, TALLAHASSEE, FL, 323085329, US | |||||||||||||||||||||||||
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| Phone | +1 850-219-8811 |
| Fax | 8502198883 |
Authorized person
| Name | DR. JAMES BREWSTER CALDWELL |
| Role | PRESIDENT |
| Phone | 8502198811 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| License Number | OS7111 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207ND0101X - MOHS-Micrographic Surgery Physician |
| License Number | MASTER ID 8538 |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Caldwell James BDr. | Agent | 2433 Mahan Drive, TALLAHASSEE, FL, 32308 |
| Name | Role | Address |
|---|---|---|
| CALDWELL J B | President | 2433 MAHAN DRIVE, TALLAHASSEE, FL, 32308 |
| Name | Role | Address |
|---|---|---|
| CALDWELL J B | Secretary | 2433 MAHAN DRIVE, TALLAHASSEE, FL, 32308 |
| Name | Role | Address |
|---|---|---|
| CALDWELL J B | Treasurer | 2433 MAHAN DRIVE, TALLAHASSEE, FL, 32308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-01-04 | Caldwell, James B, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-04 | 2433 Mahan Drive, TALLAHASSEE, FL 32308 | No data |
| CANCEL ADM DISS/REV | 2007-10-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-04-28 | 2433 MAHAN DRIVE, TALLAHASSEE, FL 32308 | No data |
| CHANGE OF MAILING ADDRESS | 2004-04-28 | 2433 MAHAN DRIVE, TALLAHASSEE, FL 32308 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-04 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-01-19 |
| ANNUAL REPORT | 2021-01-15 |
| ANNUAL REPORT | 2020-03-09 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-04-04 |
| ANNUAL REPORT | 2017-03-02 |
| ANNUAL REPORT | 2016-02-15 |
| ANNUAL REPORT | 2015-01-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
