| Entity Name: | LAURA E. SKELLCHOCK, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 Feb 2006 (19 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P06000017718 |
| FEI/EIN Number | 562556088 |
| Address: | 6100 GLADES ROAD, 304, BOCA RATON, FL, 33434 |
| Mail Address: | 6100 GLADES ROAD, 304, BOCA RATON, FL, 33434 |
| ZIP code: | 33434 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922439710 | 2013-12-05 | 2014-07-08 | 6100 GLADES RD, SUITE 304, BOCA RATON, FL, 334344325, US | 6100 GLADES RD, SUITE 304, BOCA RATON, FL, 334344325, US | |||||||||||||||||||
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| Phone | +1 561-488-2689 |
| Fax | 5613534132 |
Authorized person
| Name | LAURA E. SKELLCHOCK MD PA |
| Role | OWNER/PRACTITIONER |
| Phone | 5614882689 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| License Number | ME88323 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Coco Kimberly A | Agent | 238 Evergreen Dr, Lake Park, FL, 33403 |
| Name | Role | Address |
|---|---|---|
| Coco Kimberly A | President | 238 Evergreen Dr, Lake Park, FL, 33403 |
| Name | Role | Address |
|---|---|---|
| Coco Kimberly A | Vice President | 238 Evergreen Dr, Lake Park, FL, 33403 |
| Name | Role | Address |
|---|---|---|
| Coco Kimberly A | Treasurer | 238 Evergreen Dr, Lake Park, FL, 33403 |
| Name | Role | Address |
|---|---|---|
| Coco Kimberly A | Secretary | 238 Evergreen Dr, Lake Park, FL, 33403 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-01-12 | Coco, Kimberly A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-12 | 238 Evergreen Dr, Lake Park, FL 33403 | No data |
| CHANGE OF MAILING ADDRESS | 2008-03-08 | 6100 GLADES ROAD, 304, BOCA RATON, FL 33434 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-07-23 | 6100 GLADES ROAD, 304, BOCA RATON, FL 33434 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-02-06 |
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-04-14 |
| ANNUAL REPORT | 2013-01-20 |
| ANNUAL REPORT | 2012-04-30 |
| ANNUAL REPORT | 2011-03-16 |
| ANNUAL REPORT | 2010-06-17 |
| ANNUAL REPORT | 2009-04-28 |
| ANNUAL REPORT | 2008-03-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
