| Entity Name: | DERMPATH PLUS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 Jun 2004 (21 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P04000086812 |
| FEI/EIN Number | 201281371 |
| Address: | 5946 FROND WAY, APOLLO BEACH, FL, 33572 |
| Mail Address: | 5946 FROND WAY, APOLLO BEACH, FL, 33572 |
| ZIP code: | 33572 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548271794 | 2006-08-11 | 2020-08-22 | 829 GOLF ISLAND DR, APOLLO BEACH, FL, 335722781, US | 5946 FROND WAY, APOLLO BEACH, FL, 335722647, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 813-641-0130 |
| Phone | +1 813-641-0466 |
| Fax | 8136410488 |
Authorized person
| Name | DR. VALERIE Y RAY |
| Role | MEDICAL DIRECTOR PRESIDENT |
| Phone | 8137605104 |
Taxonomy
| Taxonomy Code | 207ZD0900X - Dermatopathology (Pathology) Physician |
| License Number | MD022804 |
| State | LA |
| Is Primary | No |
| Taxonomy Code | 207ZD0900X - Dermatopathology (Pathology) Physician |
| License Number | M8087 |
| State | ID |
| Is Primary | No |
| Taxonomy Code | 207ZP0102X - Anatomic Pathology & Clinical Pathology Physician |
| License Number | ME86922 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BSBC |
| Number | 16802 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RAY VALERIE Y | Agent | 5946 FROND WAY, APOLLO BEACH, FL, 33572 |
| Name | Role | Address |
|---|---|---|
| RAY VALERIE Y | Director | 5946 FROND WAY, APOLLO BEACH, FL, 33572 |
| Name | Role | Address |
|---|---|---|
| RAY VALERIE Y | President | 5946 FROND WAY, APOLLO BEACH, FL, 33572 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2009-03-12 | RAY, VALERIE Y | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-03-03 | 5946 FROND WAY, APOLLO BEACH, FL 33572 | No data |
| CHANGE OF MAILING ADDRESS | 2008-03-03 | 5946 FROND WAY, APOLLO BEACH, FL 33572 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-03-19 | 5946 FROND WAY, APOLLO BEACH, FL 33572 | No data |
| AMENDMENT | 2005-11-14 | No data | No data |
| NAME CHANGE AMENDMENT | 2004-06-25 | DERMPATH PLUS, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-28 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-04-23 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-07-03 |
| ANNUAL REPORT | 2014-01-08 |
| ANNUAL REPORT | 2013-04-25 |
| ANNUAL REPORT | 2012-01-11 |
| ANNUAL REPORT | 2011-01-20 |
| ANNUAL REPORT | 2010-01-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
