| Entity Name: | SUNSHINE STATE DERMATOLOGY AND SKIN CANCER CENTER INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
SUNSHINE STATE DERMATOLOGY AND SKIN CANCER CENTER INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 12 Dec 2022 (2 years ago) |
| Document Number: | P22000092004 |
| FEI/EIN Number |
921321379
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 1415 EAST VENICE AVENUE, VENICE, FL, 34292, US |
| Address: | 12497 TAMIAMI TRAIL S, NORTH PORT, FL, 34287, US |
| ZIP code: | 34287 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164122347 | 2023-03-07 | 2024-07-31 | 88 SUGAR MILL DR, OSPREY, FL, 342299077, US | 12497 TAMIAMI TRL S, UNIT 1, NORTH PORT, FL, 342871415, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 941-228-9183 |
| Phone | +1 941-282-3376 |
| Fax | 9412823378 |
Authorized person
| Name | DR. ADAM S GREENBERG |
| Role | PRESIDENT |
| Phone | 9412823376 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | No |
| Taxonomy Code | 207ND0101X - MOHS-Micrographic Surgery Physician |
| Is Primary | Yes |
| Taxonomy Code | 207NP0225X - Pediatric Dermatology Physician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BCBS PAYER ID |
| Number | YCEA9 |
| State | FL |
| Issuer | NPI |
| Number | 1932193729 |
| Name | Role | Address |
|---|---|---|
| GREENBERG ADAM SMD | President | 12497 TAMIAMI TRAIL S, NORTH PORT, FL, 34287 |
| GREENBERG ADAM S | Agent | 1415 EAST VENICE AVENUE, VENICE, FL, 34292 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-10-04 | 12497 TAMIAMI TRAIL S, UNIT 1, NORTH PORT, FL 34287 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-10-04 | 1415 EAST VENICE AVENUE, VENICE, FL 34292 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2023-07-17 | 12497 TAMIAMI TRAIL S, UNIT 1, NORTH PORT, FL 34287 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-27 |
| AMENDED ANNUAL REPORT | 2024-12-06 |
| AMENDED ANNUAL REPORT | 2024-10-04 |
| ANNUAL REPORT | 2024-01-23 |
| Domestic Profit | 2022-12-12 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
