| Entity Name: | DERMATOLOGY AND COSMETIC CENTER, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Jun 2007 (18 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P07000070679 |
| FEI/EIN Number | 260376080 |
| Address: | 5721 NE 27TH AVE, FORT LAUDERDALE, FL, 33308 |
| Mail Address: | 5721 NE 27TH AVE, FORT LAUDERDALE, FL, 33308 |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932304888 | 2007-06-20 | 2013-01-29 | 5353 N FEDERAL HWY STE 400, FORT LAUDERDALE, FL, 333083244, US | 5353 N FEDERAL HWY STE 400, FORT LAUDERDALE, FL, 333083244, US | |||||||||||||||||
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| Phone | +1 954-489-9800 |
Authorized person
| Name | KERRY ZIMMER |
| Role | OFFICE MANAGER |
| Phone | 9547720416 |
Taxonomy
| Taxonomy Code | 207ND0101X - MOHS-Micrographic Surgery Physician |
| License Number | OS8871 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DAVIS ROGER B | Agent | 518 OLEANDER DR, HALLANDALE BEACH, FL, 33009 |
| Name | Role | Address |
|---|---|---|
| CHAPLIK IGOR | President | 2117 NE 18 AVE, WILTON MANORS, FL, 33305 |
| GREEN JASON B | President | 5721 NE 27 AVE, FT LAUDERDALE, FL, 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| MERGER | 2011-01-31 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 3. MERGER NUMBER 900000111069 |
| CHANGE OF MAILING ADDRESS | 2010-09-16 | 5721 NE 27TH AVE, FORT LAUDERDALE, FL 33308 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-09-16 | DAVIS, ROGER BATTY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-09-16 | 518 OLEANDER DR, HALLANDALE BEACH, FL 33009 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-09-16 | 5721 NE 27TH AVE, FORT LAUDERDALE, FL 33308 | No data |
| AMENDMENT AND NAME CHANGE | 2010-09-16 | DERMATOLOGY AND COSMETIC CENTER, P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-14 |
| ANNUAL REPORT | 2014-04-29 |
| ANNUAL REPORT | 2013-04-13 |
| ANNUAL REPORT | 2012-04-13 |
| ANNUAL REPORT | 2011-04-22 |
| Merger | 2011-01-31 |
| Amendment and Name Change | 2010-09-16 |
| ANNUAL REPORT | 2010-04-04 |
| ANNUAL REPORT | 2009-04-20 |
| ANNUAL REPORT | 2008-04-08 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
