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BRIAN A. HARRIS, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: BRIAN A. HARRIS, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 08 Jan 1993 (33 years ago)
Document Number: P93000001236
FEI/EIN Number 65-0377756
Address: 9090 Park Royal Drive, Fort Myers, FL, 33908, US
Mail Address: 9090 Park Royal Drive, Fort Myers, FL, 33908, US
ZIP code: 33908
City: Fort Myers
County: Lee
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
Harris Brian A President 9090 Park Royal Drive, Fort Myers, FL, 33908
Schillinger Jeffery Chief Executive Officer 4000 Hollywood Blvd, Hollywood, FL, 33021
Harris Brian A Treasurer 9090 Park Royal Drive, Fort Myers, FL, 33908
Harris Brian A Secretary 9090 Park Royal Drive, Fort Myers, FL, 33908
Harris Brian A Director 9090 Park Royal Drive, Fort Myers, FL, 33908

National Provider Identifier

NPI Number:
1215040225

Authorized Person:

Name:
BRIAN A HARRIS
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
2399365126

Form 5500 Series

Employer Identification Number (EIN):
650377756
Plan Year:
2018
Number Of Participants:
25
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
30
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
30
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
30
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
35
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000100035 HARRIS DERMATOLOGY ACTIVE 2024-08-22 2029-12-31 - 4000 HOLLYWOOD BLVD, SUITE 215-S, HOLLYWOOD, FL, 33021
G08052900251 HARRIS DERMATOLOGY EXPIRED 2008-02-21 2013-12-31 - 9090 PARK ROYAL DRIVE, FORT MYERS, FL, 33908

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-25 9090 Park Royal Drive, Fort Myers, FL 33908 -
CHANGE OF MAILING ADDRESS 2024-03-25 9090 Park Royal Drive, Fort Myers, FL 33908 -
REGISTERED AGENT NAME CHANGED 2023-04-21 C T Corporation System -
REGISTERED AGENT ADDRESS CHANGED 2020-02-18 4000 HOLLYWOOD BLVD, SUITE 215-S, HOLLYWOOD, FL 33021 -

Documents

Name Date
ANNUAL REPORT 2024-03-25
ANNUAL REPORT 2023-04-21
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-03-05
ANNUAL REPORT 2020-02-18
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-04-09
ANNUAL REPORT 2017-04-20
ANNUAL REPORT 2016-04-18
ANNUAL REPORT 2015-03-06

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Date of last update: 02 Aug 2025

Sources: Florida Department of State