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ANNA CHACON, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: ANNA CHACON, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 28 Jul 2021 (4 years ago)
Document Number: P21000068404
FEI/EIN Number 87-2024905
Address: 5790 S.W. 91ST STREET, MIAMI, FL, 33156
Mail Address: 5790 S.W. 91ST STREET, MIAMI, FL, 33156
ZIP code: 33156
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Links between entities

Type:
Headquarter of
Company Number:
10297667
State:
ALASKA
Type:
Headquarter of
Company Number:
1472525
State:
MISSISSIPPI
MISSISSIPPI profile:

Key Officers & Management

Name Role Address
Chacon Celia H Admi 5790 SW 91st Street, Pinecrest, FL, 33156
Chacon Anna HMD Agent 5790 SW 91st Street, Pinecrest, FL, 33156
CHACON ANNA M.D. Director 5790 S.W. 91ST STREET, MIAMI, FL, 33156

Commercial and government entity program

CAGE number:
98Y29
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2023-03-01
CAGE Expiration:
2027-02-07
SAM Expiration:
2023-03-01

Contact Information

POC:
ANNA H. CHACON
Corporate URL:
drannachacon.com

National Provider Identifier

NPI Number:
1932816634
Certification Date:
2022-11-01

Authorized Person:

Name:
DR. ANNA CHACON
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
3052034549

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2025-01-16 Chacon, Anna H, MD -
REGISTERED AGENT ADDRESS CHANGED 2025-01-16 5790 SW 91st Street, Pinecrest, FL 33156 -

Documents

Name Date
ANNUAL REPORT 2025-01-16
ANNUAL REPORT 2024-01-28
ANNUAL REPORT 2023-02-02
ANNUAL REPORT 2022-01-08
Domestic Profit 2021-07-28

Trademarks

Serial Number:
99235401
Status:
New application awaiting assignment to an examining attorney. See current trademark processing wait times for more information.
Mark Type:
Service Mark
Application Filing Date:
2025-06-16
Mark Drawing Type:
0 - UNKNOWN MARK DRAWING TYPE
Mark Literal Elements:
None

Goods And Services

For:
Medspa services for health and beauty of the body and spirit
First Use:
2014-06-01
International Classes:
044 - Primary Class
Class Status:
ACTIVE
Serial Number:
99235394
Mark:
SKINDEEP PODCAST
Status:
New application awaiting assignment to an examining attorney. See current trademark processing wait times for more information.
Mark Type:
Service Mark
Application Filing Date:
2025-06-16
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
SKINDEEP PODCAST

Goods And Services

For:
Production of podcasts
First Use:
2025-01-01
International Classes:
041 - Primary Class
Class Status:
ACTIVE
Serial Number:
99235389
Mark:
MIAMIDERM
Status:
New application awaiting assignment to an examining attorney. See current trademark processing wait times for more information.
Mark Type:
Service Mark
Application Filing Date:
2025-06-16
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
MIAMIDERM

Goods And Services

For:
Medspa services for health and beauty of the body and spirit
First Use:
2014-06-01
International Classes:
044 - Primary Class
Class Status:
ACTIVE

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Date of last update: 02 Aug 2025

Sources: Florida Department of State