| Entity Name: | OCALA DERMATOLOGY AND SKIN CANCER CENTER, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 20 Apr 1994 (31 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 22 Feb 1999 (26 years ago) |
| Document Number: | P94000030360 |
| FEI/EIN Number | 59-3238249 |
| Address: | 3233 SW 33RD RD, #101, OCALA, FL 34474 |
| Mail Address: | 3233 SW 33RD RD, #101, OCALA, FL 34474 |
| ZIP code: | 34474 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871599365 | 2005-06-21 | 2023-03-07 | 3233 SW 33RD RD, STE 101, OCALA, FL, 344748468, US | 3233 SW 33RD RD, STE 101, OCALA, FL, 344748468, US | |||||||||||||||||||||||||
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| Phone | +1 352-237-2322 |
| Fax | 3522372456 |
Authorized person
| Name | WENDY DOBSON |
| Role | PRACTICE ADMINISTRATOR |
| Phone | 3522372322 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| License Number | 40485 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FLORIDA MEDICAL LICENSE |
| Number | ME155877 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OCALA DERMATOLOGY AND SKIN CANCER CENTER PA 401 (K) PLAN | 2022 | 593238249 | 2024-02-12 | OCALA DERMATOLOGY AND SKIN CANCER CENTER, P.A. | 27 | |||||||||||||
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| OCALA DERMATOLOGY AND SKIN CANCER CENTER PA 401 (K) PLAN | 2021 | 593238249 | 2023-03-15 | OCALA DERMATOLOGY AND SKIN CANCER CENTER, P.A. | 29 | |||||||||||||
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| OCALA DERMATOLOGY AND SKIN CANCER CENTER PA 401 (K) PLAN | 2020 | 593238249 | 2021-10-15 | OCALA DERMATOLOGY AND SKIN CANCER CENTER, P.A. | 25 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| HOLLOWAY, KATHRYN B | Agent | 3233 SW 33RD RD, #101, OCALA, FL 34474 |
| Name | Role | Address |
|---|---|---|
| HOLLOWAY, KATHRYN BMD | President | 3233 SW 33RD ROAD, #101, OCALA, FL 34474 |
| Name | Role | Address |
|---|---|---|
| BARTON, PHILIP MD | Vice President | 3233 SW 33RD ROAD, #101, OCALA, FL 34474 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2009-02-18 | 3233 SW 33RD RD, #101, OCALA, FL 34474 | No data |
| CHANGE OF MAILING ADDRESS | 2009-02-18 | 3233 SW 33RD RD, #101, OCALA, FL 34474 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-02-18 | 3233 SW 33RD RD, #101, OCALA, FL 34474 | No data |
| REGISTERED AGENT NAME CHANGED | 2002-02-27 | HOLLOWAY, KATHRYN B | No data |
| NAME CHANGE AMENDMENT | 1999-02-18 | OCALA DERMATOLOGY AND SKIN CANCER CENTER, P.A. | No data |
| NAME CHANGE AMENDMENT | 1995-12-08 | OCALA DERMATOLOGY AND SKIN SURGERY, P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-29 |
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-02-12 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-01-22 |
| ANNUAL REPORT | 2018-01-18 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-01-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
