SIMONA B BARTOS DO, P.A. - Florida Company Profile

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Company Details

Entity Name:	SIMONA B BARTOS DO, P.A.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Active
Date Filed:	02 Jul 2019 (6 years ago)
Document Number:	P19000055102
FEI/EIN Number	84-2482230
Mail Address:	4700 Sheridan Street, Hollywood, FL, 33021, US
Address:	4700 Sheridan St, Hollywood, FL, 33021, US
ZIP code:	33021
City:	Hollywood
County:	Broward
Place of Formation:	FLORIDA

Key Officers & Management

Name	Role	Address
BARTOS SIMONA	President	4700 Sheridan St, Hollywood, FL, 33021
Bartos Gregory	Vice President	4700 Sheridan St, hollywood, FL, 33021
Sami Sam R	Agent	8181 west Broward blvd, plantation, FL, 33324

National Provider Identifier

NPI Number:

1821679929

Certification Date:

2024-08-13

Link:

View on NPI website

Authorized Person:

Name:

MS. SIMONA B BARTOS

Role:

PRESIDENT

Phone:

9545160722

Taxonomy:

Selected Taxonomy:

207N00000X - Dermatology Physician

Is Primary:

Selected Taxonomy:

207ND0101X - MOHS-Micrographic Surgery Physician

Is Primary:

Yes

Contacts:

Phone:

+1 954-937-2294

Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G21000038376	IMPERIAL DERMATOLOGY	ACTIVE	2021-03-19	2026-12-31	-	2100, NW 127 AVE, PEMBROKE PINES, FL, 33028
G20000161709	IMPERIAL SKIN CENTER	ACTIVE	2020-12-21	2025-12-31	-	4700 SHERIDAN STREET # I, HOLLYWOOD, FL, 33021

Events

Event Type	Filed Date	Value	Description
REGISTERED AGENT NAME CHANGED	2023-01-23	Sami, Sam R	-
REGISTERED AGENT ADDRESS CHANGED	2023-01-23	8181 west Broward blvd, 350, plantation, FL 33324	-
CHANGE OF MAILING ADDRESS	2022-01-26	4700 Sheridan St, I, Hollywood, FL 33021	-
CHANGE OF PRINCIPAL ADDRESS	2021-04-16	4700 Sheridan St, I, Hollywood, FL 33021	-

Documents

Name	Date
ANNUAL REPORT	2025-02-03
ANNUAL REPORT	2024-01-30
ANNUAL REPORT	2023-01-23
ANNUAL REPORT	2022-01-26
ANNUAL REPORT	2021-04-16
ANNUAL REPORT	2020-06-08
Domestic Profit	2019-07-02

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Date of last update: 01 Aug 2025

Sources: Florida Department of State