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DU-AL DERMATOLOGY, CORP

Company Details

Entity Name: DU-AL DERMATOLOGY, CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 Sep 2022 (2 years ago)
Document Number: P22000070987
FEI/EIN Number 92-0342667
Address: 14850 SW 26TH ST, SUITE 103, MIAMI, FL, 33185
Mail Address: 14850 SW 26TH ST, SUITE 103, MIAMI, FL, 33185
ZIP code: 33185
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316649841 2023-03-20 2023-10-28 16580 SW 48TH TER, MIAMI, FL, 331855142, US 14850 SW 26TH ST STE 103, MIAMI, FL, 331855928, US

Contacts

Phone +1 786-488-5492
Phone +1 305-381-5033
Fax 3053815111

Authorized person

Name DUNIA PENA SALGADO
Role PRESIDENT
Phone 7864885492

Taxonomy

Taxonomy Code 207N00000X - Dermatology Physician
Is Primary Yes
Taxonomy Code 363LF0000X - Family Nurse Practitioner
Is Primary No

Agent

Name Role Address
PENA SALGADO DUNIA Agent 14850 SW 26TH ST, MIAMI, FL, 33185

President

Name Role Address
PENA SALGADO DUNIA President 14850 SW 26TH ST, MIAMI, FL, 33185

Vice President

Name Role Address
RODRIGUEZ ALFONSO ALAIN Vice President 14850 SW 26TH ST, MIAMI, FL, 33185

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000116222 DU-AL DERMATOLOGY AND WELLNESS CLINIC ACTIVE 2024-09-16 2029-12-31 No data 14850 SW 26TH STREET STE 103, MIAMI, FL, 33185

Documents

Name Date
ANNUAL REPORT 2024-04-09
ANNUAL REPORT 2023-02-25
Domestic Profit 2022-09-12

Date of last update: 02 Feb 2025

Sources: Florida Department of State