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BAY DERMATOLOGY & COSMETIC SURGERY, P.A. - Florida Company Profile

Company Details

Entity Name: BAY DERMATOLOGY & COSMETIC SURGERY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

BAY DERMATOLOGY & COSMETIC SURGERY, P.A. 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: 05 Dec 1994 (30 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 07 May 1999 (26 years ago)
Document Number: P94000088000
FEI/EIN Number 593282073

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 8220 U.S. 19 NORTH, PORT RICHEY, FL, 34668, US
Mail Address: 8220 U.S. 19 NORTH, PORT RICHEY, FL, 34668, US
ZIP code: 34668
County: Pasco
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740694942 2014-06-16 2015-05-15 4683 CHABOT DR STE 200, C/O ADVANCED RX MANAGEMENT, PLEASANTON, CA, 945883829, US 7500 GULF BLVD, SUITE B, ST PETE BEACH, FL, 337061821, US

Contacts

Phone +1 925-621-2900
Fax 9255222930
Phone +1 727-258-0625
Fax 7273601680

Authorized person

Name KATI GAINOUS
Role PHARMACY PROGRAM ADMINISTRATOR
Phone 9256212900

Taxonomy

Taxonomy Code 332900000X - Non-Pharmacy Dispensing Site
Is Primary Yes

Key Officers & Management

Name Role Address
MILLER RICHARD A Director 8220 U.S. 19 NORTH, PORT RICHEY, FL, 34668
KRUTHCHIK MICHAEL E Director 8220 U.S. HWY 19 NORTH, PORT RICHEY, FL, 34668
DORTON DAVID W Director 8220 U.S. HWY 19 NORTH, PORT RICHEY, FL, 34668
ESGUERRA DAVID Director 8220 U.S. HWY 19 NORTH, PORT RICHEY, FL, 34668
WITFILL KRISTIN Director 8220 U.S. HWY 19 NORTH, PORT RICHEY, FL, 34668
MILLER RICHARD A Agent 8220 US 19 NORTH, PORT RICHEY, FL, 34668

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000020434 CENTER FOR MEDICAL REJUVENATION EXPIRED 2013-02-27 2018-12-31 - 8220 US HWY 19 N., PORT RICHEY, FL, 34668

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2009-04-15 8220 U.S. 19 NORTH, PORT RICHEY, FL 34668 -
CHANGE OF MAILING ADDRESS 2009-04-15 8220 U.S. 19 NORTH, PORT RICHEY, FL 34668 -
REGISTERED AGENT NAME CHANGED 2005-04-25 MILLER, RICHARD A -
REGISTERED AGENT ADDRESS CHANGED 2005-04-25 8220 US 19 NORTH, PORT RICHEY, FL 34668 -
NAME CHANGE AMENDMENT 1999-05-07 BAY DERMATOLOGY & COSMETIC SURGERY, P.A. -

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-04-15
ANNUAL REPORT 2022-03-22
ANNUAL REPORT 2021-04-20
ANNUAL REPORT 2020-06-17
ANNUAL REPORT 2019-04-23
ANNUAL REPORT 2018-04-05
ANNUAL REPORT 2017-04-06
ANNUAL REPORT 2016-03-21
ANNUAL REPORT 2015-03-23

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7957357003 2020-04-08 0455 PPP 8220 US HIGHWAY 19, PORT RICHEY, FL, 34668-6639
Loan Status Date 2021-03-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1188500
Loan Approval Amount (current) 1188500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 123499
Servicing Lender Name BayFirst National Bank
Servicing Lender Address 700 Central Avenue, Saint Petersburg, FL, 33701
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address PORT RICHEY, PASCO, FL, 34668-6639
Project Congressional District FL-12
Number of Employees 124
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Professional Association
Originating Lender ID 123499
Originating Lender Name BayFirst National Bank
Originating Lender Address Saint Petersburg, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1198919.73
Forgiveness Paid Date 2021-03-10

Date of last update: 01 Apr 2025

Sources: Florida Department of State