| Entity Name: | MARISA POTTER, MD, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 31 Jan 2014 (11 years ago) |
| Document Number: | P14000010144 |
| FEI/EIN Number | 46-4737960 |
| Address: | 20803 Biscayne Blvd, Aventura, FL, 33180, US |
| Mail Address: | 20803 Biscayne Blvd, Aventura, FL, 33180, US |
| ZIP code: | 33180 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538744081 | 2021-03-16 | 2023-06-02 | 20803 BISCAYNE BLVD STE 503, AVENTURA, FL, 331801432, US | 20803 BISCAYNE BLVD STE 503, AVENTURA, FL, 331801432, US | |||||||||||||||
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| Phone | +1 305-363-1956 |
| Fax | 3056308578 |
Authorized person
| Name | MARISA POTTER |
| Role | PRESIDENT |
| Phone | 6126554045 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| POTTER MARISA | Agent | 3730 NE 209 Terrace, Aventura, FL, 33180 |
| Name | Role | Address |
|---|---|---|
| POTTER MARISA | President | 3730 NE 209 Terrace, Aventura, FL, 33180 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000066834 | DR. MARISA POTTER DERMATOLOGY | ACTIVE | 2021-05-16 | 2026-12-31 | No data | 20803 BISCAYNE BLVD, SUITE #503, AVENTURA, FL, 33180 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-11 | 20803 Biscayne Blvd, #503, Aventura, FL 33180 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-05 | 20803 Biscayne Blvd, #503, Aventura, FL 33180 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-05 | 20803 Biscayne Blvd, #503, Aventura, FL 33180 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-02-06 | 3730 NE 209 Terrace, Aventura, FL 33180 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-11 |
| ANNUAL REPORT | 2024-01-07 |
| ANNUAL REPORT | 2023-01-07 |
| ANNUAL REPORT | 2022-01-05 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-02-06 |
| ANNUAL REPORT | 2017-02-25 |
| ANNUAL REPORT | 2016-01-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
