| Entity Name: | MID-FLORIDA DERMATOLOGY ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
MID-FLORIDA DERMATOLOGY ASSOCIATES, 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: | 07 Aug 1995 (30 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 08 Jun 2023 (2 years ago) |
| Document Number: | P95000060797 |
| FEI/EIN Number |
593330433
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 7652 Ashley Park Court, Orlando, FL, 32806, US |
| Mail Address: | 7652 ASHLEY PARK COURT, SUITE 305, ORLANDO, FL, 32806, US |
| ZIP code: | 32806 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | MID-FLORIDA DERMATOLOGY ASSOCIATES, P.A., MISSISSIPPI | 1040339 | MISSISSIPPI |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619018561 | 2007-02-12 | 2023-03-08 | 7652 ASHLEY PARK CT, SUITE 305, ORLANDO, FL, 328356199, US | 7652 ASHLEY PARK CT, SUITE 305, ORLANDO, FL, 328356199, US | |||||||||||||||||||
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| Phone | +1 407-299-7333 |
| Fax | 4072932049 |
Authorized person
| Name | RITA K DOBSON |
| Role | CREDENTIALING DIR. |
| Phone | 4072997333 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | No |
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GUTIERREZ MICHAEL M | President | 7652 Ashley Park Court, Orlando, FL, 32826 |
| GUTIERREZ MICHAEL M | Secretary | 7652 Ashley Park Court, Orlando, FL, 32826 |
| GUTIERREZ MICHAEL M | Treasurer | 7652 Ashley Park Court, Orlando, FL, 32826 |
| GUTIERREZ MICHAEL M | Director | 7652 Ashley Park Court, Orlando, FL, 32826 |
| GUTIERREZ LINDSEY M | Director | 7652 Ashley Park Court, Orlando, FL, 32826 |
| GUTIERREZ MICHAEL M | Agent | 7652 ASHLEY PARK COURT, ORLANDO, FL, 32835 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000127804 | NORTHSHORE DERMATOLOGY | ACTIVE | 2023-10-16 | 2028-12-31 | - | 7652 ASHLEY PARK CT, STE 306, ORLANDO, FL, 32835 |
| G23000060803 | VOLUSIA PLASTIC SURGERY | ACTIVE | 2023-05-15 | 2028-12-31 | - | 7652 ASHLEY PARK CT, STE 305, ORLANDO, FL, 32835 |
| G23000058800 | VOLUSIA PLASTIC SURGERY CENTER | ACTIVE | 2023-05-09 | 2028-12-31 | - | 7652 ASHLEY PARK CT, STE 306, ORLANDO, FL, 32835 |
| G21000118549 | MID FLORIDA INSTITUTE OF PLASTIC SURGERY | ACTIVE | 2021-09-15 | 2026-12-31 | - | 7652 ASHLEY PARK CT., STE 30, ORLANDO, FL, 32835 |
| G21000074819 | MID FLORIDA ALLERGY | ACTIVE | 2021-06-03 | 2026-12-31 | - | 7652 ASHLEY PARK CT., STE 305, ORLANDO, FL, 32835 |
| G21000074821 | MID FLORIDA ALLERGY & ATOPIC ECZEMA | ACTIVE | 2021-06-03 | 2026-12-31 | - | 7652 ASHLEY PARK CT., STE 305, ORLANDO, FL, 32835 |
| G21000074824 | MID FLORIDA ALLERGY & ASTHMA | ACTIVE | 2021-06-03 | 2026-12-31 | - | 7652 ASHLEY PARK CT., STE 305, ORLANDO, FL, 32835 |
| G21000068687 | CLEAR CHOICE DERMATOLOGY OF FL | ACTIVE | 2021-05-20 | 2026-12-31 | - | 7652 ASHLEY PARK CT., STE 305, ORLANDO, FL, 32835 |
| G17000048540 | MID-FLORIDA DERMATOLOGY | ACTIVE | 2017-05-03 | 2027-12-31 | - | 7652 ASHLEY PARK CT, STE 306, ORLANDO, FL, 32835 |
| G17000001601 | MID FLORIDA MEDICAL CORPORATION | ACTIVE | 2017-01-05 | 2027-12-31 | - | 7652 ASHLEY PARK CT, STE 306, ORLANDO, FL, 32835 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-08-12 | GUTIERREZ, MICHAEL M | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-08-12 | 7652 ASHLEY PARK COURT, SUITE 305, ORLANDO, FL 32835 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-17 | 7652 Ashley Park Court, Suite 305, Orlando, FL 32806 | - |
| AMENDMENT | 2023-06-08 | - | - |
| CHANGE OF MAILING ADDRESS | 2009-01-27 | 7652 Ashley Park Court, Suite 305, Orlando, FL 32806 | - |
| NAME CHANGE AMENDMENT | 2006-06-30 | MID-FLORIDA DERMATOLOGY ASSOCIATES, P.A. | - |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-08-12 |
| Reg. Agent Resignation | 2024-08-12 |
| ANNUAL REPORT | 2024-04-17 |
| Amendment | 2023-06-08 |
| ANNUAL REPORT | 2023-02-13 |
| ANNUAL REPORT | 2022-03-15 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-04-15 |
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-03-21 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7580217006 | 2020-04-07 | 0491 | PPP | 7652 ASHLEY PARK CT STE 306, ORLANDO, FL, 32835-6113 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
