| Entity Name: | SAND LAKE DERMATOLOGY CENTER, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 04 Jan 1994 (31 years ago) |
| Document Number: | P94000000536 |
| FEI/EIN Number | 59-3216355 |
| Address: | 7335 W. SAND LAKE RD., SUITE 200, ORLANDO, FL 32819 |
| Mail Address: | 7335 W. SAND LAKE RD., SUITE 200, ORLANDO, FL 32819 |
| ZIP code: | 32819 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558315234 | 2006-05-19 | 2021-11-30 | 7335 W SAND LAKE RD, SUITE 200, ORLANDO, FL, 328195538, US | 7335 W SAND LAKE RD, SUITE 200, ORLANDO, FL, 328195538, US | |||||||||||||||||||||||
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| Phone | +1 407-352-8553 |
| Fax | 4073518412 |
Authorized person
| Name | DR. ALLISON KAY ARTHUR |
| Role | OWNER |
| Phone | 4073528553 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME0050669 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ARTHUR, ALLISON K, MD | Agent | 7335 W. SAND LAKE RD., SUITE 200, ORLANDO, FL 32819 |
| Name | Role | Address |
|---|---|---|
| ARTHUR, ALLISON K, Dr. | OWNER | 7335 W. SAND LAKE RD., SUITE 200 ORLANDO, FL 32819 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-03-07 | ARTHUR, ALLISON K, MD | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-02-27 | 7335 W. SAND LAKE RD., SUITE 200, ORLANDO, FL 32819 | No data |
| CHANGE OF MAILING ADDRESS | 2014-02-27 | 7335 W. SAND LAKE RD., SUITE 200, ORLANDO, FL 32819 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-02-27 | 7335 W. SAND LAKE RD., SUITE 200, ORLANDO, FL 32819 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-20 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-02-26 |
| ANNUAL REPORT | 2018-02-21 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-02-02 |
| ANNUAL REPORT | 2015-01-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
