Search icon

FLORIDA DERMATOLOGIC SURGERY AND AESTHETICS INSTITUTE, PA - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: FLORIDA DERMATOLOGIC SURGERY AND AESTHETICS INSTITUTE, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 18 Jul 2005 (20 years ago)
Document Number: P05000100593
FEI/EIN Number 203157425
Address: 11940 Lake Butler Blvd, Windermere, FL, 34786, US
Mail Address: 11940 Lake Butler Blvd, Windermere, FL, 34786, US
ZIP code: 34786
City: Windermere
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HASSANEIN ASHRAF M Director 11940 Lake Butler Blvd, Windermere, FL, 34786
Hassanein Maha Vice President 11940 Lake Butler Blvd, Windermere, FL, 34786
Hassanein Hatem Vice President 11940 Lake Butler Blvd, Windermere, FL, 34786
HASSANEIN ASHRAF M Agent 11940 Lake Butler Blvd, Windermere, FL, 34786

Unique Entity ID

Unique Entity ID:
EZQHD6G6ULP9
CAGE Code:
9T9D6
UEI Expiration Date:
2025-02-06

Business Information

Activation Date:
2024-02-12
Initial Registration Date:
2024-02-07

Commercial and government entity program

CAGE number:
9T9D6
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-02-06
CAGE Expiration:
2029-02-12
SAM Expiration:
2025-02-06

Contact Information

POC:
ASHARF HASSANEIN

National Provider Identifier

NPI Number:
1427180645

Authorized Person:

Name:
ASHRAF M HASSANEIN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
3524302651

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000123755 FLORIDERM ACTIVE 2019-11-19 2029-12-31 - 11950 COUNTY ROAD 101, SUITE 203, THE VILLAGES, FL, 32162

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-10-31 11940 Lake Butler Blvd, Windermere, FL 34786 -
CHANGE OF PRINCIPAL ADDRESS 2024-10-04 11940 Lake Butler Blvd, Windermere, FL 34786 -
CHANGE OF MAILING ADDRESS 2024-10-04 11940 Lake Butler Blvd, Windermere, FL 34786 -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-10-31
ANNUAL REPORT 2024-01-06
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-18
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-03-09

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 02 Aug 2025

Sources: Florida Department of State