| Entity Name: | DERMASURGEONS PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 Jan 2010 (15 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: | P10000003489 |
| FEI/EIN Number | 271733128 |
| Address: | 12600 PEMBROKE ROAD, 312, MIRAMAR, FL, 33027 |
| Mail Address: | 12600 PEMBROKE ROAD, 312, MIRAMAR, FL, 33027 |
| ZIP code: | 33027 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699007484 | 2010-02-04 | 2010-02-04 | 12600 PEMBROKE ROAD, SUITE 100, MIRAMAR, FL, 33027, US | 12600 PEMBROKE ROAD, SUITE 100, MIRAMAR, FL, 33027, US | |||||||||||||||||||
|
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| Phone | +1 954-431-7681 |
| Fax | 9544317682 |
Authorized person
| Name | DR. JOSE E MENDEZ |
| Role | PRESIDENT |
| Phone | 9544317681 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | No |
| Taxonomy Code | 207ND0101X - MOHS-Micrographic Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MENDEZ JOSE E | Agent | 12600 PEMBROKE ROAD, MIRAMAR, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| MENDEZ JOSE | President | 12600 PEMBROKE ROAD 312, MIRAMAR, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| FLORES FRANCISCO | Vice President | 3000 SW 148TH AVE #250, MIRAMAR, FL, 33027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REINSTATEMENT | 2011-10-07 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-10-07 | 12600 PEMBROKE ROAD, 312, MIRAMAR, FL 33027 | No data |
| CHANGE OF MAILING ADDRESS | 2011-10-07 | 12600 PEMBROKE ROAD, 312, MIRAMAR, FL 33027 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-10-07 | 12600 PEMBROKE ROAD, 312, MIRAMAR, FL 33027 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-22 |
| ANNUAL REPORT | 2014-04-16 |
| ANNUAL REPORT | 2013-01-26 |
| ANNUAL REPORT | 2012-02-09 |
| REINSTATEMENT | 2011-10-07 |
| Domestic Profit | 2010-01-12 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
