| Entity Name: | KEY WEST DERMATOLOGY, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Jul 2005 (20 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 28 Oct 2011 (13 years ago) |
| Document Number: | P05000099514 |
| FEI/EIN Number | 20-3149254 |
| Address: | 82883 Overseas HWY, IsIamorada, FL, 33036, US |
| Mail Address: | 82883 Overseas HWY, IsIamorada, FL, 33036, US |
| ZIP code: | 33036 |
| County: | Monroe |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750396339 | 2006-07-30 | 2008-10-09 | PO BOX 1910, ISLAMORADA, FL, 330361910, US | 1010 KENNEDY DR, SUITE 304, KEY WEST, FL, 330404134, US | |||||||||||||||||||
|
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| Phone | +1 305-664-8828 |
| Fax | 3056648898 |
Authorized person
| Name | DR. DAREL DEAN PRUETT |
| Role | OWNER |
| Phone | 3056648828 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | 4528 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Schillinger Jeffery | President | 4000 Hollywood Blvd, Hollywood, FL, 33021 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000116824 | KEYS DERMATOLOGY | ACTIVE | 2019-10-29 | 2030-12-31 | No data | 4000 HOLLYWOOD BLVD, SUITE 215-S, HOLLYWOOD, FL, 33021 |
| G19000116761 | KEYS DERMATOLOGY, INC. | EXPIRED | 2019-10-29 | 2024-12-31 | No data | 4000 HOLLYWOOD BLVD, SUITE 215-S, HOLLYWOOD, FL, 33021 |
| G08170900173 | PRUETT DERMATOLOGY | EXPIRED | 2008-06-18 | 2013-12-31 | No data | PO BOX 1910, ISLAMORADA, FL, 33036 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-25 | 82883 Overseas HWY, IsIamorada, FL 33036 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-25 | 82883 Overseas HWY, IsIamorada, FL 33036 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-21 | 1200 South Pine Island Road, Plantation, FL 33324 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-04-21 | C T Corporation System | No data |
| REINSTATEMENT | 2011-10-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| REINSTATEMENT | 2010-10-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-25 |
| ANNUAL REPORT | 2023-04-21 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-03-05 |
| ANNUAL REPORT | 2020-02-18 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-01-16 |
| ANNUAL REPORT | 2015-02-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
