| Entity Name: | ALOUPIS DERMATOLOGY, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Sep 2019 (5 years ago) |
| Document Number: | P19000075389 |
| FEI/EIN Number | 84-3141692 |
| Address: | 2141 S. Alternate A1A, Suite 430, JUPITER, FL, 33477, US |
| Mail Address: | 2141 S. Alternate A1A, Suite 430, JUPITER, FL, 33477, US |
| ZIP code: | 33477 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629610415 | 2019-10-13 | 2020-08-06 | 2141 S ALTERNATE A1A STE 430, JUPITER, FL, 334774063, US | 2141 S ALTERNATE A1A STE 430, JUPITER, FL, 334774063, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 561-313-1230 |
| Fax | 5612493192 |
Authorized person
| Name | KYLE TIDWELL |
| Role | ADMINISTRATOR |
| Phone | 5613131230 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALOUPIS KRISTEN MDO | Agent | 3445 Harbor Rd N, Jupiter, FL, 33469 |
| Name | Role | Address |
|---|---|---|
| ALOUPIS KRISTEN MDO | President | 2141 S. Alternate A1A, JUPITER, FL, 33477 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-18 | 3445 Harbor Rd N, Jupiter, FL 33469 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-02 | 2141 S. Alternate A1A, Suite 430, JUPITER, FL 33477 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-02 | 2141 S. Alternate A1A, Suite 430, JUPITER, FL 33477 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-01-17 |
| Domestic Profit | 2019-09-24 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
